NIANJUN TANG (M.D.) – Pain Medicine Physician, NPI 1477556454
Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for NIANJUN TANG (M.D.)
North Decatur Boulevard, Las Vegas, Clark County, Nevada, 89107, United States of America
LAS VEGAS, NV 891305286
Phone: (702) 839-1203
Fax: (702) 839-1301
Type: Mailing
6064 S FORT APACHE RD STE 100
LAS VEGAS, NV 891485350
Phone: (702) 839-1203
Fax: (702) 839-1301
Type: Mailing
6064 S FORT APACHE RD
LAS VEGAS, NV 891484534
Phone: (702) 940-8007
Fax: (702) 832-1940
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $324.
Total Amount is formed as General ($324) + Research ($0) + Ownership ($0) = $324.
Last reported payment date: 2023-12-10 • Largest payer in this snapshot: Boston Scientific Corporation ($306).
Total Amount
$324
General + Research + Ownership
Payments
3
Total payment records
General Amount
$324
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-10-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111020000606 | I | Physical Medicine And Rehabilitation | NV | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89130)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management | DC | |
| Pain Management, Physical Medicine And Rehabilitation | CA | |
| - | NV | |
| Pain Management, Anesthesiology | TX | |
| - | NV | |
| Nurse Practitioner | NV | |
| - | NV | |
| Physician Assistant | TN | |
| Interventional Pain Management, Pain Management | NV | |
| Certified Registered Nurse Anesthetist (Crna) | TN |
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