TAEUK KANG PA-C
NPI 1174125595
Physician Assistant in Coppell, TX

Active since November 10, 2020PECOS EnrolledAccepts Medicare Assignment
580 S DENTON TAP RD, COPPELL, TX 75019(972) 462-0762 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2024, Mar 7, 2023, Nov 17, 2021 and 2 more (5 updates tracked since 2020).

About Taeuk Kang Pa-c NPPES

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

TAEUK KANG PA-C (NPI 1174125595) is an individual physician assistant in Coppell, Texas, licensed in Texas (PA15157) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cotulla, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1174125595
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTAEUK KANGCredential: PA-C
Location Address580 S DENTON TAP RDCoppell, TX 75019-4098
Mailing AddressPo Box 2070Orange Grove, TX 78372-2070 · (361) 382-2024
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 10, 2020
Last NPPES UpdateFebruary 20, 20245 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
NPI 1174125595 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 TX · PA15157
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.
580 S DENTON TAP RD, Coppell, TX 75019

Secondary Practice Location 1

Location 1408 N GiraudCotulla, TX 78014-3113 · Phone (830) 879-2279 · Fax (830) 879-2235

Other Identifiers 1

OtherPA15157TX · Texas Medical Board

Accepted Insurance

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

Taeuk Kang Pa-c 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 ID4789073511
PECOS Enrollment IDI20211116001375
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
71 services62 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.
17 services16 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75019 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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 15

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

Clinic/Center
580 S DENTON TAP RD, SUITE 210
COPPELL, TX 75019
Counselor (Professional)
580 S DENTON TAP RD, SUITE 250
COPPELL, TX 75019
Family Medicine
580 S DENTON TAP RD, #123
COPPELL, TX 75019
Counselor (Professional)
580 S DENTON TAP RD, SUITE 250
COPPELL, TX 75019
Speech-Language Pathologist
580 S DENTON TAP RD, SUITE 220
COPPELL, TX 75019
Counselor (Professional)
580 S DENTON TAP RD, SUITE 270
COPPELL, TX 75019
Family Medicine
580 S DENTON TAP RD, #123
COPPELL, TX 75019
Nurse Practitioner (Family)
580 S DENTON TAP RD
COPPELL, TX 75019

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 Taeuk Kang's NPI number?

The NPI number for Taeuk Kang is 1174125595. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Where is Taeuk Kang located?

Taeuk Kang practices at 580 S Denton Tap Rd, Coppell, TX 75019. The listed phone number is (972) 462-0762.

What is Taeuk Kang's specialty?

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

Is Taeuk Kang enrolled in Medicare?

Yes. Taeuk 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.

What insurance does Taeuk Kang accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Taeuk Kang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Taeuk Kang was last updated on February 20, 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.