DR. PHILIP ANDREW TANGALOS (DO) – Family Medicine Physician, NPI 1194383299

DR. PHILIP ANDREW TANGALOS (DO) is a healthcare provider. based in Detroit, Michigan. specializing in GENERAL PRACTICE. They hold the professional credentials DO. They hold a License No. 5101026554 (MI). The NPI Number for DR. PHILIP ANDREW TANGALOS (DO) is 1194383299

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILIP ANDREW TANGALOS (DO)
NPI
1194383299
Phone
Not provided
Address
3031 W GRAND BLVD STE 450
Enumeration Date
3 June 2019
Last Update Date
13 December 2022

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5867264823
Graduation Year
2018 (8 years ago)
PAC ID
6608251632
Group Practice PAC ID
8325020332
Professional Enrollment ID
I20220912003120
Address ID
MI483131972ST43455RDXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

216 GENERAL PRACTICE in MI

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Provider Addresses for DR. PHILIP ANDREW TANGALOS (DO)

  • West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202:48208, United States

    DETROIT, MI 482023026

    Phone:

    Type: Mailing

  • 43455 SCHOENHERR RD STE 2

    STERLING HEIGHTS, MI 483131972

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $756.

Total Amount is formed as General ($756) + Research ($0) + Ownership ($0) = $756.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Lucid Diagnostics Inc. ($480).

Total Amount

$756

General + Research + Ownership

Payments

10

Total payment records

General Amount

$756

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220912003120IGeneral PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes169105$0
99213Established patient office or other outpatient visit, 20-29 minutes9379$0
36415Insertion of needle into vein for collection of blood sample5539$0
80053Blood test, comprehensive group of blood chemicals4132$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count4132$0
View full utilization report →

Insurance plans in this area (ZIP 48202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325020332View full group profile
NameSpecialtyState
Family PracticeMI
Nurse PractitionerMI
Internal MedicineMI
Family PracticeMI
Cardiovascular Disease (Cardiology)MI
Physician AssistantMI
Cardiovascular Disease (Cardiology)MI
Internal MedicineMI
-MI
-MI

Reviews

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Frequently asked questions

Does DR. PHILIP ANDREW TANGALOS (DO) have a public NPI I can cite?
Public records show DR. PHILIP ANDREW TANGALOS (DO) under NPI 1194383299.
Should I treat DR. PHILIP ANDREW TANGALOS (DO) as an active provider?
Patients and plans typically see DR. PHILIP ANDREW TANGALOS (DO) as active in the national extract.
What does the directory say DR. PHILIP ANDREW TANGALOS (DO) does?
Insurance directories may phrase it differently, but here DR. PHILIP ANDREW TANGALOS (DO) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. PHILIP ANDREW TANGALOS (DO) tied to Detroit, Michigan?
If you are local to Detroit, Michigan, DR. PHILIP ANDREW TANGALOS (DO) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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