SHELLY TANG MD
NPI 1124720453
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Q: What is Shelly Tang's NPI number?

The NPI number for Shelly Tang is 1124720453. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Shelly Tang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Tang was last updated on September 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2023PECOS Enrolled

1524 PINTO LN FL 2, LAS VEGAS, NV 89106(702) 992-6888 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Shelly Tang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY TANG MD (NPI 1124720453) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124720453

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSHELLY TANGCredential: MD

Location Address1524 PINTO LN FL 2Las Vegas, NV 89106-4195

Mailing Address1524 Pinto Ln Fl 2Las Vegas, NV 89106-4195 · (702) 992-6888

Phone(702) 992-6888

Sole ProprietorNo

Enumeration DateMarch 20, 2023

Last NPPES UpdateSeptember 12, 2023

NPPES CertifiedSeptember 12, 2023

✔ NPI 1124720453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1524 PINTO LN FL 2, Las Vegas, NV 89106

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelly Tang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.