DR. DENGDA TANG (MD) – Gastroenterology Physician, NPI 1467447821

DR. DENGDA TANG (MD) is a healthcare provider. based in Seattle, Washington. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 25MA07723200 (NJ). The NPI Number for DR. DENGDA TANG (MD) is 1467447821

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. DENGDA TANG (MD)
NPI
1467447821
Phone
(206) 326-2529
Address
125 16TH AVE E
Enumeration Date
13 September 2005
Last Update Date
11 April 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
3605142550
Graduation Year
2001 (25 years ago)
PAC ID
0749228963
Group Practice PAC ID
8820178288
Professional Enrollment ID
I20090922000649
Address ID
WA986641965VA505XXAVEX406

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

474 GASTROENTEROLOGY in WA

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Provider Addresses for DR. DENGDA TANG (MD)

  • Kaiser Permanente South Building, 125, 16th Avenue East, Madison Valley, Capitol Hill, Seattle, King County, Washington, 98112, United States

    GROUP HEALTH, GASTROENTEROLOGY

    SEATTLE, WA 981125211

    Phone: (206) 326-2529

    Type: Location

  • 125 16th Ave E

    Group health, gastroenterology

    Seattle, WA 981125211

    Phone: (206) 326-2529

    Type: Location

  • 505 NE 87TH AVE STE 301

    VANCOUVER, WA 986641965

    Phone: (360) 514-7060

    Fax: (360) 514-7068

    Type: Location

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: 2009-09-22

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
I20090922000649IGastroenterologyWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98112)

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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: 8820178288View full group profile
NameSpecialtyState
O P H T H A L M O L O G YWA
Physician AssistantWA
General Surgery, Thoracic SurgeryWA
General Surgery, Thoracic SurgeryWA
Family PracticeWA
O P H T H A L M O L O G YWA
O B S T E T R I C S/ G Y N E C O L O G YWA
Physician AssistantWA
Medical OncologyWA
Nephrology, Internal MedicineWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. DENGDA TANG (MD)?
DR. DENGDA TANG (MD) — NPI 1467447821 — is the standard way to identify this listing.
Can I rely on DR. DENGDA TANG (MD) being an active provider?
As of the registry snapshot, DR. DENGDA TANG (MD) is marked active.
What is DR. DENGDA TANG (MD) best known for clinically?
Directory data describes DR. DENGDA TANG (MD) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. DENGDA TANG (MD) on a map?
Expect Seattle, Washington as a primary anchor for DR. DENGDA TANG (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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