JACK SHIH-CHIEH KAO M.D.
NPI 1013960475
Anesthesiology in Los Angeles, CA

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
1155 S GRAND AVE APT 1212, LOS ANGELES, CA 90015(714) 309-6697 Get Directions Write a Review

NPPES record last updated: March 2, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jack Shih-chieh Kao M.d. NPPES

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

JACK SHIH-CHIEH KAO M.D. (NPI 1013960475) is an individual anesthesiology provider in Los Angeles, California, licensed in California (A69438) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1998).

NPPES Registry Identity

NPI1013960475
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJACK SHIH-CHIEH KAOCredential: M.D.
Location Address1155 S GRAND AVE APT 1212Los Angeles, CA 90015-2789
Mailing Address1155 S Grand Ave Apt 1212Los Angeles, CA 90015-2789 · (714) 309-6697
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 1998
Enumeration DateMay 18, 2006
Last NPPES UpdateMarch 2, 2015
✔ NPI 1013960475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in CA · A69438✔ Licensed in MA · 219901
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedInternal MedicineTaxonomy 207R00000X · License A69438 (CA)
1155 S GRAND AVE APT 1212, Los Angeles, CA 90015

Other Identifiers 1

Medicare PINBC904ZCA

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

Jack Shih-chieh Kao 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 ID2769487693
PECOS Enrollment IDI20070131000606
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

3

Medicare enrollment records show Jack Kao reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
5700 SAN FERNANDO RD
Glendale, CA 91202
  • Reassigned Medicare billing, California enrollment
  • 58 clinicians in this Medicare group
Anesthesiology
100 W CALIFORNIA BLVD
Pasadena, CA 91105
  • Reassigned Medicare billing, California enrollment
  • 214 clinicians in this Medicare group
Pain Medicine
2121 SANTA MONICA BLVD
Santa Monica, CA 90404
  • Reassigned Medicare billing, California enrollment
  • 83 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 2

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
178 services159 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
11 services11 patients

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 Jack Kao's NPI number?

The NPI number for Jack Kao is 1013960475. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Jack Kao located?

Jack Kao practices at 1155 S Grand Ave Apt 1212, Los Angeles, CA 90015. The listed phone number is (714) 309-6697.

What is Jack Kao's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jack Kao enrolled in Medicare?

Yes. Jack Kao 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 Jack Kao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Kao reassigns Medicare benefits to 3 organizations: La Quality Care Anesthesia Consultants Inc (Glendale, CA), Pacific Valley Medical Group (Pasadena, CA) and Bayside Anesthesia Medical Group (Santa Monica, CA). 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 Jack Kao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jack Kao was last updated on March 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.