ETHAN TANG MD
NPI 1366948721
Radiology - Diagnostic Radiology in Fort Worth, TX

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 321-0404 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2025, Apr 19, 2024 (2 updates tracked since 2024).

About Ethan Tang Md NPPES

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

ETHAN TANG MD (NPI 1366948721) is an individual diagnostic radiology provider in Fort Worth, Texas, licensed in Texas (V7079) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1366948721
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameETHAN TANGCredential: MD
Location Address815 PENNSYLVANIA AVEFort Worth, TX 76104-2294
Mailing Address1320 S University Dr Ste 500Fort Worth, TX 76107-5732 · (817) 321-0404
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2018
Enumeration DateApril 4, 2018
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1366948721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in TX · V7079✔ Licensed in AZ · 58735
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
815 PENNSYLVANIA AVE, Fort Worth, TX 76104

Secondary Practice Locations 4

Location 1350 W Thomas RdPhoenix, AZ 85013-4409 · Phone (602) 406-3430 · Fax (602) 406-2340
Location 27330 N 99th Ave Ste 200Glendale, AZ 85307-3018 · Phone (602) 406-0033 · Fax (602) 406-0035
Location 34975 N Dysart Rd Unit 100Litchfield Park, AZ 85340-3082 · Phone (602) 406-8852 · Fax (623) 935-9495
Location 417040 N 51st Ave Ste 100Glendale, AZ 85308-1496 · Phone (602) 406-1164 · Fax (623) 935-9495

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ethan Tang Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072055508
PECOS Enrollment IDI20250804001532
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Ethan Tang reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
1320 S UNIVERSITY DR
Fort Worth, TX 76107
  • Reassigned Medicare billing, Texas enrollment
  • 445 clinicians in this Medicare group
Radiology
4501 HERITAGE TRACE PKWY STE 115
Fort Worth, TX 76244
  • Reassigned Medicare billing, Texas enrollment
  • 206 clinicians in this Medicare group
Radiology
2535 IRA E WOODS AVE STE 101
Grapevine, TX 76051
  • Reassigned Medicare billing, Texas enrollment
  • 194 clinicians in this Medicare group
Radiology
4780 N JOSEY LN
Carrollton, TX 75010
  • Reassigned Medicare billing, Texas enrollment
  • 201 clinicians in this Medicare group
Radiology
6101 W PLANO PKWY STE 150
Plano, TX 75093
  • Reassigned Medicare billing, Texas enrollment
  • 137 clinicians in this Medicare group
Radiology
11970 N CENTRAL EXPY STE 100
Dallas, TX 75243
  • Reassigned Medicare billing, Texas enrollment
  • 216 clinicians in this Medicare group
Radiology
3700 W 15TH ST, BUILDING D, SUITE 200
Plano, TX 75075
  • Reassigned Medicare billing, Texas enrollment
  • 213 clinicians in this Medicare group
Radiology
8501 WADE BLVD., SUITE 220
Frisco, TX 75034
  • Reassigned Medicare billing, Texas enrollment
  • 223 clinicians in this Medicare group
Radiology
997 RAINTREE CIRCLE, SUITE 110
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 229 clinicians in this Medicare group
Diagnostic Radiology
6740 E CAMELBACK RD STE 100
Scottsdale, AZ 85251
  • Reassigned Medicare billing, Arizona enrollment
  • 178 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 6

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,250 services11 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
51 services42 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
15 services15 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
15 services15 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
13 services13 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
13 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Dallas

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450462
Location8200 Walnut Hill LaneDallas, TX 75231 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450563
Location1650 W College StGrapevine, TX 76051 · Tarrant County
Emergency services Birthing friendly

North Central Surgical Center LLP

Acute Care Hospitals · Dallas, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number670049
Location9301 North Central Expressway Suite 100Dallas, TX 75231 · Dallas County
Emergency services

Methodist Hospital For Surgery

Acute Care Hospitals · Addison, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670073
Location17101 Dallas ParkwayAddison, TX 75001 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104

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 Ethan Tang's NPI number?

The NPI number for Ethan Tang is 1366948721. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Ethan Tang located?

Ethan Tang practices at 815 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (817) 321-0404.

What is Ethan Tang's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Ethan Tang enrolled in Medicare?

Yes. Ethan Tang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ethan Tang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Tang reassigns Medicare benefits to 10 organizations: Radiology Associates Of North Texas, PA (Fort Worth, TX), North Star Mcd, LLC (Fort Worth, TX), North Star Gv, LP (Grapevine, TX), North Star Cn, LP (Carrollton, TX), North Star Npt LP (Plano, TX) and 5 more organizations, listed in the Medicare section above. Each 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 Ethan Tang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ethan Tang accept?

Health plans from Cigna Healthcare list Ethan Tang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ethan Tang affiliated with any hospitals?

According to CMS data, Ethan Tang is affiliated with Texas Health Harris Methodist Hospital Fort Worth, Texas Health Presbyterian Hospital Dallas, Baylor Scott & White Medical Center Grapevine, North Central Surgical Center LLP and Methodist Hospital For Surgery.

When was this NPI record last updated?

The NPPES record for Ethan Tang was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.