KYLE TANG (PA-C) – Physician Assistant, NPI 1295603157

KYLE TANG (PA-C) is a healthcare provider. based in Lake oswego, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA227148 (OR). The NPI Number for KYLE TANG (PA-C) is 1295603157

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
KYLE TANG (PA-C)
NPI
1295603157
Phone
(503) 850-9940
Address
4103 MERCANTILE DR
Enumeration Date
23 October 2025
Last Update Date
23 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5038509940
Graduation Year
2025 (1 year ago)
PAC ID
0345725792
Group Practice PAC ID
4789725607
Professional Enrollment ID
I20260402002636
Address ID
OR970352556LA4103XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for KYLE TANG (PA-C)

  • 4103 MERCANTILE DR

    LAKE OSWEGO, OR 970352556

    Phone: (503) 850-9940

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 97035)

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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: 4789725607View full group profile
NameSpecialtyState
Physician AssistantOR
Physician AssistantWA
Physician AssistantOR
Orthopedic SurgeryWA
Orthopedic SurgeryWA
Physician AssistantWI
Physician AssistantCA
Hand Surgery, Orthopedic SurgeryOR
Nurse PractitionerWA
Physician AssistantOR

Reviews

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Frequently asked questions

Can I cross-check KYLE TANG (PA-C) using NPI 1295603157?
NPI 1295603157 belongs to KYLE TANG (PA-C); compare other details if you need extra assurance.
Is KYLE TANG (PA-C) still an active registrant?
KYLE TANG (PA-C) carries an active NPI according to the public dataset.
What area of care is associated with KYLE TANG (PA-C)?
KYLE TANG (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KYLE TANG (PA-C)?
Travel planning: use Lake Oswego, Oregon as the reference point for KYLE TANG (PA-C), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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