Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DEREK TANG MD
NPI 1497370282
Student in an Organized Health Care Education/Training Program in Providence, RI

Active since June 08, 2020PECOS Enrolled
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-8809 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Dec 12, 2025, Jun 25, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Derek Tang Md NPPES

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

DR. DEREK TANG MD (NPI 1497370282) is an individual student in an organized health care education/training program in Providence, Rhode Island, licensed in Rhode Island (LP05270) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Temple University School Of Medicine (2020).

NPPES Registry Identity

NPI1497370282
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DEREK TANGCredential: MD
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address593 Eddy StProvidence, RI 02903-4923 · (401) 444-8809
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2020
Enumeration DateJune 8, 2020
Last NPPES UpdateJuly 15, 20264 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1497370282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code390200000X
Licenses Licensed in RI · LP05270 Licensed in PA · MT220030
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License ME175544 (FL)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 105688 (GA), ME175544 (FL)
593 EDDY ST, Providence, RI 02903

Secondary Practice Locations 6

Location 1400 Health Park BlvdSt Augustine, FL 32086-5784 · Phone (352) 265-0291
Location 2801 Ostrum StBethlehem, PA 18015 · Phone (484) 526-4644
Location 31600 SW Archer RdGainesville, FL 32610-3003 · Phone (352) 265-0291
Location 4600 E Dixie AveLeesburg, FL 34748-5925 · Phone (352) 265-0291
Location 51490 SE Magnolia ExtOcala, FL 34471-4443 · Phone (352) 351-7200 · Fax (706) 653-1230
Location 6743 Spring St NEGainesville, GA 30501-3715 · Phone (770) 848-8448

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Derek 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 ID3577063700
PECOS Enrollment IDI20250822001326, I20251205003042
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 20

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

Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903

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 Derek Tang's NPI number?

The NPI number for Derek Tang is 1497370282. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Where is Derek Tang located?

Derek Tang practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-8809.

What is Derek Tang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Derek Tang enrolled in Medicare?

Yes. Derek 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.

When was this NPI record last updated?

The NPPES record for Derek Tang was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.