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SIUSHAN TANG VUONG PA
NPI 1134734817
Physician Assistant in Memphis, TN

Active since September 10, 2020PECOS Enrolled
102 CLARK PL APT S, MEMPHIS, TN 38104(515) 867-0223 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 30, 2023, Sep 10, 2020 (2 updates tracked since 2020).

About Siushan Tang Vuong Pa NPPES

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

SIUSHAN TANG VUONG PA (NPI 1134734817) is an individual physician assistant in Memphis, Tennessee, licensed in Arizona (9399) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134734817
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSIUSHAN TANG VUONGCredential: PA
Location Address102 CLARK PL APT SMemphis, TN 38104-2419
Mailing Address102 Clark Pl Apt SMemphis, TN 38104-2419 · (515) 867-0223
Phone(515) 867-0223
Sole ProprietorYes
Enumeration DateSeptember 10, 2020
Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1134734817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 9399
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
102 CLARK PL APT S, Memphis, TN 38104
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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)

Siushan Tang Vuong Pa 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
39 services38 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Siushan Vuong's NPI number?

The NPI number for Siushan Vuong is 1134734817. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Where is Siushan Vuong located?

Siushan Vuong practices at 102 Clark Pl Apt S, Memphis, TN 38104. The listed phone number is (515) 867-0223.

What is Siushan Vuong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Siushan Vuong enrolled in Medicare?

Yes. Siushan Vuong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Siushan Vuong was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.