LUCAS TANG MD
NPI 1205520764
Family Medicine in Fort Wayne, IN

Q: What is Lucas Tang's NPI number?

The NPI number for Lucas Tang is 1205520764. It was assigned to this individual provider in the NPPES registry on June 7, 2023.

Q: What is Lucas Tang's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Lucas Tang was last updated on June 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 07, 2023PECOS Enrolled

750 BROADWAY STE 350, FORT WAYNE, IN 46802(260) 423-2675(260) 423-6621 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lucas Tang Md NPPES

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

LUCAS TANG MD (NPI 1205520764) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (11022953A) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205520764

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameLUCAS TANGCredential: MD

Location Address750 BROADWAY STE 350Fort Wayne, IN 46802-1412

Mailing Address750 Broadway Ste 350Fort Wayne, IN 46802-1412 · (260) 423-2675 · Fax (260) 423-6621

Phone(260) 423-2675

Fax(260) 423-6621

Sole ProprietorNo

Enumeration DateJune 7, 2023

NPPES CertifiedJune 7, 2023

✔ NPI 1205520764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 11022953A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

750 BROADWAY STE 350, Fort Wayne, IN 46802

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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)

Lucas 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46802 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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