EKATERINA ALDONZA TANGOG DO
NPI 1336998855
General Practice in Jbsa-fort Sam Houston, TX

Active since May 16, 2024PECOS Enrolled
BROOKE ARMY MEDICAL CENTER, MCHE-MDX, INTERNAL MEDICINE RESIDENCY, 3551 ROGER BROOKE DR., JBSA-FORT SAM HOUSTON, TX 78234(210) 292-3410(210) 292-7868 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ekaterina Aldonza Tangog Do NPPES

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

EKATERINA ALDONZA TANGOG DO (NPI 1336998855) is an individual general practice provider in Jbsa-fort Sam Houston, Texas, licensed in Nebraska (3092) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336998855
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameEKATERINA ALDONZA TANGOGCredential: DO
Location AddressBROOKE ARMY MEDICAL CENTER, MCHE-MDX, INTERNAL MEDICINE RESIDENCY, 3551 ROGER BROOKE DR.Jbsa-fort Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504 · (210) 292-3410 · Fax (210) 292-7868
Fax(210) 292-7868
Sole ProprietorNo
Enumeration DateMay 16, 2024
Last NPPES UpdateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
NPI 1336998855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NE · 3092
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

BROOKE ARMY MEDICAL CENTER, MCHE-MDX, Jbsa-fort Sam Houston, TX 78234

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ekaterina Aldonza Tangog Do 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Military Health Care Provider
BROOKE ARMY MEDICAL CENTER, MCHE-MDX, 3551 ROGER BROOKE DRI., JBSA-FORT SAM HOUSTON
SAN ANTONIO, TX 78234

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336998855, enumerated as an "individual" on May 16, 2024.

The provider is located at BROOKE ARMY MEDICAL CENTER, MCHE-MDX INTERNAL MEDICINE RESIDENCY, 3551 ROGER BROOKE DR. JBSA-FORT SAM HOUSTON, TX 78234 and the phone number is (210) 292-3410.

General Practice with taxonomy code 208D00000X.