TSYRIA SHIANN TANG (DO) – Internal Medicine Physician, NPI 1003376120

TSYRIA SHIANN TANG (DO) is a healthcare provider. based in Portland, Oregon. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. DO209307 (OR). The NPI Number for TSYRIA SHIANN TANG (DO) is 1003376120

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
TSYRIA SHIANN TANG (DO)
NPI
1003376120
Phone
(503) 413-7036
Address
1015 NW 22ND AVE
Enumeration Date
24 March 2019
Last Update Date
19 July 2022

Doctor Profile

Medical School Name
TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Secondary Phone
5036927785
Graduation Year
2019 (7 years ago)
PAC ID
7315273638
Group Practice PAC ID
5092609842
Professional Enrollment ID
I20220712003123
Address ID
OR970628353TU19875AVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

2,480 INTERNAL MEDICINE in OR

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Provider Addresses for TSYRIA SHIANN TANG (DO)

  • Legacy Good Samaritan Medical Center, 1015, Northwest 22nd Avenue, Northwest District, Portland, Metro, Multnomah County, Oregon, 97210, United States

    PORTLAND, OR 972103025

    Phone: (503) 413-7036

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-07-12

PECOS data refreshed: 2026-06-15

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
I20220712003123IInternal MedicineORTBD

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 minutes158114$0
99215Established patient office or other outpatient visit, 40-54 minutes10186$0
99213Established patient office or other outpatient visit, 20-29 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 97210)

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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: 5092609842View full group profile

Reviews

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Frequently asked questions

Can I cross-check TSYRIA SHIANN TANG (DO) using NPI 1003376120?
NPI 1003376120 belongs to TSYRIA SHIANN TANG (DO); compare other details if you need extra assurance.
Would TSYRIA SHIANN TANG (DO) appear as active to a payer?
You can treat TSYRIA SHIANN TANG (DO) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is TSYRIA SHIANN TANG (DO)?
TSYRIA SHIANN TANG (DO) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is TSYRIA SHIANN TANG (DO) located near Portland?
TSYRIA SHIANN TANG (DO) currently maps to Portland, Oregon in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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