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DR. GWENDOLIN VAKENA TANGHAM M.D
NPI 1962659730
Internal Medicine - Infectious Disease in Petersburg, VA

Active since August 25, 2008PECOS EnrolledAccepts Medicare Assignment
50 MEDICAL PARK BLVD STE A, PETERSBURG, VA 23805(804) 765-6766(804) 765-6771 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2020, Feb 28, 2019, Jan 19, 2018 (3 updates tracked since 2018).

About Dr. Gwendolin Vakena Tangham M.d NPPES

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

DR. GWENDOLIN VAKENA TANGHAM M.D (NPI 1962659730) is an individual infectious disease provider in Petersburg, Virginia, licensed in Virginia (0101-254157) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Bon Secours Southside Medical Center, and is a graduate of Other.

NPPES Registry Identity

NPI1962659730
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. GWENDOLIN VAKENA TANGHAMCredential: M.D
Location Address50 MEDICAL PARK BLVD STE APetersburg, VA 23805-9275
Mailing Address8580 Magellan PkwyRichmond, VA 23227-1149 · (804) 765-6766 · Fax (804) 765-6771
Phone(804) 765-6766
Fax(804) 765-6771
Sole ProprietorNo
Medical School CMSOther
Enumeration DateAugust 25, 2008
Last NPPES UpdateFebruary 5, 20203 updates tracked since enumeration
✔ NPI 1962659730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in VA · 0101-254157
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
50 MEDICAL PARK BLVD STE A, Petersburg, VA 23805
Open in Google Maps ↗

Other Identifiers 1

Medicaid1962659730VA

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. Gwendolin Vakena Tangham 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 ID648404954
PECOS Enrollment IDI20130927000359
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,039 services173 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
140 services129 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
84 services53 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
54 services48 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490067
Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23805 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
3%94 patients1/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
58%31 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%252 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
28%172 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 96% · 52 patients
75%52 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

DR. CLIFTON ALLEN HAWKES M.D.
Internal Medicine (Infectious Disease)
50 MEDICAL PARK BLVD STE A
PETERSBURG, VA 23805
Petersburg City (804) 765-6766
DR. RAISA GHOSH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
50 MEDICAL PARK BLVD STE A
PETERSBURG, VA 23805
Petersburg City (804) 765-5901
NEHA HYDERALI LALANI M.D
Internal Medicine (Endocrinology, Diabetes & Metabolism)
50 MEDICAL PARK BLVD STE A
PETERSBURG, VA 23805
Petersburg City (804) 765-5901

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 Gwendolin Tangham's NPI number?

The NPI number for Gwendolin Tangham is 1962659730. It was assigned to this individual provider in the NPPES registry on August 25, 2008.

Where is Gwendolin Tangham located?

Gwendolin Tangham practices at 50 Medical Park Blvd Ste A, Petersburg, VA 23805. The listed phone number is (804) 765-6766.

What is Gwendolin Tangham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Gwendolin Tangham enrolled in Medicare?

Yes. Gwendolin Tangham 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.

Is Gwendolin Tangham affiliated with any hospitals?

According to CMS data, Gwendolin Tangham is affiliated with Bon Secours Southside Medical Center.

When was this NPI record last updated?

The NPPES record for Gwendolin Tangham was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.