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DR. RODERICK TY ANG M.D.
NPI 1669631529
Family Medicine in Johnson City, NY

Active since June 05, 2008PECOS EnrolledAccepts Medicare Assignment
40 ARCH ST, JOHNSON CITY, NY 13790(607) 763-6075(607) 763-5234 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Roderick Ty Ang M.d. NPPES

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

DR. RODERICK TY ANG M.D. (NPI 1669631529) is an individual family medicine provider in Johnson City, New York, licensed in California (A106878) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1669631529
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RODERICK TY ANGCredential: M.D.
Location Address40 ARCH STJohnson City, NY 13790-2102
Mailing Address40 Arch StJohnson City, NY 13790-2102 · (607) 763-6075 · Fax (607) 763-5234
Phone(607) 763-6075
Fax(607) 763-5234
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJune 5, 2008
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
✔ NPI 1669631529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A106878
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
40 ARCH ST, Johnson City, NY 13790
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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 and accepts Medicare assignment

Dr. Roderick Ty Ang M.d. 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 ID5496894164
PECOS Enrollment IDI20091209000582
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 13790 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

JULIE DOUGLASS
Dietitian, Registered
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6092
DR. PERIKA SHAUGN DEROCHE MD
Student in an Organized Health Care Education/Training Program
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6075
CHRISTINE WOZNIAK RD
Dietitian, Registered
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6075
OLAYINKA O WILHELM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
40 ARCH ST, DIABETES CENTER - PICCIANO 2
JOHNSON CITY, NY 13790
Broome County (607) 763-6092
JILLENE MYRNELLE BRATHWAITE D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6092
TYSON DON BRIERLEY D.O.
Family Medicine
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6075
DR. AHMED FAISAL CHOWDHURY MD
Student in an Organized Health Care Education/Training Program
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6075
KATHERINE HOLMES MD
Family Medicine
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6075

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 Roderick Ang's NPI number?

The NPI number for Roderick Ang is 1669631529. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Where is Roderick Ang located?

Roderick Ang practices at 40 Arch St, Johnson City, NY 13790. The listed phone number is (607) 763-6075.

What is Roderick Ang's specialty?

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

Is Roderick Ang enrolled in Medicare?

Yes. Roderick Ang 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 Roderick Ang was last updated on December 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.