JACQUELYN KANG MD
NPI 1033104328
Otolaryngology in Leeds, MA
About Jacquelyn Kang Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYN KANG MD (NPI 1033104328) is an individual otolaryngology provider in Leeds, Massachusetts, licensed in Massachusetts (217113) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacquelyn Kang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacquelyn Kang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MA 01107
- Reassigned Medicare billing, Massachusetts enrollment
- 18 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01053 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
LEEDS, MA 01053
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 Jacquelyn Kang's NPI number?
The NPI number for Jacquelyn Kang is 1033104328. It was assigned to this individual provider in the NPPES registry on September 13, 2005. The provider is also known as Jacquelyn Reilly Kang MD.
Where is Jacquelyn Kang located?
Jacquelyn Kang practices at 421 N Main St, Leeds, MA 01053. The listed phone number is (413) 584-4040.
What is Jacquelyn Kang's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Jacquelyn Kang enrolled in Medicare?
Yes. Jacquelyn Kang is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacquelyn Kang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Kang reassigns Medicare benefits to Ear, Nose & Throat Surgeons Of Western New England, LLC (Springfield, MA). The 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 Jacquelyn Kang'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 Jacquelyn Kang was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jacquelyn Kang, MD · NPI 1033104328
Otolaryngology physician in Leeds, Massachusetts. Individual provider, active in the CMS NPPES registry since September 13, 2005.
## Identity
- **NPI:** 1033104328 (Entity type: Individual)
- **Enumerated:** September 13, 2005
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 217113 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 421 N MAIN ST, Leeds, MA 01053-9764
- **Phone:** (413) 584-4040
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ear, Nose & Throat Surgeons Of Western New England, LLC (NPI 1386685881, Springfield, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2024
- **Other identifiers:** Medicaid 2018675 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1033104328) · Data from the CMS NPPES public registry.