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I.A. TANGOREN, M.D., P.L.L.C.
NPI 1265594584
Dermatology in Syracuse, NY

Active since December 14, 2006
2949 ERIE BLVD E STE 110, SYRACUSE, NY 13224(315) 424-1430(315) 424-1779 Get Directions Write a Review

NPPES record last updated: September 24, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About I.a. Tangoren, M.d., P.l.l.c. NPPES

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

I.A. TANGOREN, M.D., P.L.L.C. (NPI 1265594584) is a healthcare organization registered as a dermatology in Syracuse, New York and active in the NPI registry since December 2006. The organization lists Tracy E. Barrett-tangoren, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1265594584
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameI.A. TANGOREN, M.D., P.L.L.C.
Location Address2949 ERIE BLVD E STE 110Syracuse, NY 13224-1460
Mailing Address2949 Erie Blvd E Ste 110Syracuse, NY 13224-1460 · (315) 424-1430 · Fax (315) 424-1779
Phone(315) 424-1430
Fax(315) 424-1779
Organization SubpartNo
Authorized OfficialTracy E. Barrett-tangorenPractice Administrator · (315) 569-7900
Enumeration DateDecember 14, 2006
Last NPPES UpdateSeptember 24, 2013
✔ NPI 1265594584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 209386-1
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2949 ERIE BLVD E STE 110, Syracuse, NY 13224
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Other Identifiers 1

Medicare ID-Type UnspecifiedBA0061NY · Medicare Entity Prov#

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

I.a. Tangoren, M.d., P.l.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to I.A. Tangoren, M.D., P.L.L.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Rebecca Chavez, FNP
Nurse Practitioner
NPI 1811777626
2949 ERIE BLVD E STE 110
Syracuse, NY 13224
(315) 396-6563
✔ PECOS✔ Accepts MedicareSame address
Deborah Schu, RNNP
Nurse Practitioner
NPI 1104822675
2949 ERIE BLVD E SUITE 110
Syracuse, NY 13224
(315) 424-1430
✔ PECOS✔ Accepts MedicareSame address
Ibrahim Tangoren, M.D.
Dermatology
NPI 1770578601
2949 ERIE BOULEVARD EAST
Syracuse, NY 13224
(315) 579-9037
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 I.A. Tangoren, M.D., P.L.L.C.'s NPI number?

The NPI number for I.A. Tangoren, M.D., P.L.L.C. is 1265594584. It was assigned to this organization in the NPPES registry on December 14, 2006.

Where is I.A. Tangoren, M.D., P.L.L.C. located?

I.A. Tangoren, M.D., P.L.L.C. is located at 2949 Erie Blvd E Ste 110, Syracuse, NY 13224. The listed phone number is (315) 424-1430.

What is I.A. Tangoren, M.D., P.L.L.C.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is I.A. Tangoren, M.D., P.L.L.C. enrolled in Medicare?

Yes. I.A. Tangoren, M.D., P.L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through I.A. Tangoren, M.D., P.L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to I.A. Tangoren, M.D., P.L.L.C., in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for I.A. Tangoren, M.D., P.L.L.C. was last updated on September 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.