Individual provider Active NPI

Rachel Allyson Tangaro, M.D.

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1861751794
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10535180-1205 Issued in UT
Practice address
348 E 4500 S Ste 300
Salt Lake City, UT 84107
Phone
(801) 266-2777
Fax
(801) 266-1377
NPI assigned
May 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10535180-1205 UT Primary

Addresses

Primary practice location

348 E 4500 S Ste 300
Salt Lake City, UT 84107

Mailing address

PO Box 198560
Atlanta, GA 30384-8560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210621002665 WA Practitioner - Family Practice 3274846621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Public Hospital Dist No 1 SkagitGroup PAC ID 6800793522, 321 clinicians

Practice addresses (Care Compare)

110 N Laventure Rd
Suite C
Mount Vernon, WA 98273-3901
Phone (360) 399-7700

Hospital & facility affiliations

  • Hospice of the Northwest Hospice, Mount Vernon, WA, CCN 501505
  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003
  • Peacehealth United General Medical Center Hospital, Sedro Woolley, WA, CCN 501329
  • Island Hospital Hospital, Anacortes, WA, CCN 500007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital Dist No 1 Skagit CurrentSince Jun 4, 2021 Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Public Hospital Dist No 1 Skagit Family Medicine CurrentSince Jun 4, 2021 Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients

Locations

110 N Laventure Rd
Ste C
Mount Vernon, WA 98273
Phone (360) 399-7700

901 S 5th St
Mount Vernon, WA 98274
Phone (360) 428-6434

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

Interoperability endpoints

  • Direct secure messaging: rachel.tangaro.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: rtangaro33734@skagit.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1861751794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198560",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 E 4500 S STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-266-2777",
            "fax_number": "801-266-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGARO",
        "first_name": "RACHEL",
        "middle_name": "ALLYSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-12",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "10535180-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.