ELLICE KANG DO
NPI 1154943181
Anesthesiology in San Jose, CA
About Ellice Kang Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLICE KANG DO (NPI 1154943181) is an individual anesthesiology provider in San Jose, California, licensed in California (20A20029) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2020).
NPPES Registry Identity
Specialties & Licenses
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
Ellice Kang Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Ellice Kang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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.
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 Ellice Kang's NPI number?
The NPI number for Ellice Kang is 1154943181. It was assigned to this individual provider in the NPPES registry on May 13, 2020.
Where is Ellice Kang located?
Ellice Kang practices at 250 Hospital Pkwy, San Jose, CA 95119. The listed phone number is (408) 972-3000.
What is Ellice Kang's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Ellice Kang enrolled in Medicare?
Yes. Ellice Kang 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 organization bills Medicare for Ellice Kang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellice Kang reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). 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 Ellice 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 Ellice Kang was last updated on July 3, 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.
# Ellice Kang, DO · NPI 1154943181
Anesthesiology physician in San Jose, California. Individual provider, active in the CMS NPPES registry since May 13, 2020.
## Identity
- **NPI:** 1154943181 (Entity type: Individual)
- **Enumerated:** May 13, 2020
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 20A20029 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 250 HOSPITAL PKWY, San Jose, CA 95119-1103
- **Phone:** (408) 972-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa, class of 2020
## Record status
- **NPPES last updated:** July 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1154943181) · Data from the CMS NPPES public registry.