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

TARA RANGSIYAWARANON
NPI 1821972001
Physician Assistant in Tampa, FL

Q: What is Tara Rangsiyawaranon's NPI number?

The NPI number for Tara Rangsiyawaranon is 1821972001. It was assigned to this individual provider in the NPPES registry on August 1, 2025.

Q: What is Tara Rangsiyawaranon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since August 01, 2025PECOS Enrolled

12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-4673(813) 449-8618 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tara Rangsiyawaranon NPPES

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

TARA RANGSIYAWARANON (NPI 1821972001) is an individual physician assistant in Tampa, Florida, licensed in Florida (PA9121307) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821972001

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTARA RANGSIYAWARANON

Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416

Mailing AddressPo Box 198441Atlanta, GA 30384-8441 · (813) 745-4673 · Fax (813) 449-8618

Phone(813) 745-4673

Fax(813) 449-8618

Sole ProprietorNo

Enumeration DateAugust 1, 2025

Last NPPES UpdateJune 23, 2026

NPPES CertifiedJune 23, 2026

✔ NPI 1821972001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9121307

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

12902 USF MAGNOLIA DR, Tampa, FL 33612

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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 (PECOS)

Tara Rangsiyawaranon 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

DR. MICHAEL MARTIN WACH MD

Surgery