Active NPI
Rachel Allyson Tangaro, M.D.
- Family Medicine Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10535180-1205
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Skagit Valley Hospital
- Peacehealth United General Medical Center
- Island Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Family Medicine | Current | 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
- rachel.tangaro.p1@direct.lakeside.nextgenshare.com
- 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.
-
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
- Rural Health Clinic/Center
- Darrington, WA
- NPI 1013064575
Family Medicine
-
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
-
- Specialist
- Mount Vernon, WA
- NPI 1629012463
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Sedro Woolley, WA
- NPI 1144664954
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
-
- General Acute Care Hospital
- Anacortes, WA
- NPI 1710913140
-
- Community Based Hospice Care Agency
- Mount Vernon, WA
- NPI 1174693139
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.