CONG RAN
NPI 1194110700
Otolaryngology - Plastic Surgery within the Head & Neck in Santa Monica, CA

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment
1317 5TH ST STE 300, SANTA MONICA, CA 90401(310) 434-0044 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Years of Experience 12
  • Otolaryngology
  • Plastic Surgery within the Head & Neck
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About CONG RAN

This page provides the complete NPI Profile along with additional information for Cong Ran, a provider established in Santa Monica, California with a medical specialization in Otolaryngology, focusing in plastic surgery within the head & neck and more than 12 years of experience. She graduated from Geisel School Of Medicine At Dartmouth in 2015. The healthcare provider is registered in the NPI registry with number 1194110700 assigned on March 2015. The practitioner's primary taxonomy code is 207YX0007X with license number A167718 (CA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1194110700 Verify this NPI
Provider Name
CONG RAN
Gender
Female
Entity Type
Individual
Location Address
1317 5TH ST STE 300 SANTA MONICA, CA 90401
Location Phone
(310) 434-0044
Mailing Address
PO BOX 7001 TARZANA, CA 91357
Mailing Phone
(818) 888-7815
Mailing Fax
(818) 715-1722
Medical School Name
GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
03-31-2015
Last Update Date
04-06-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology Plastic Surgery within the Head & Neck

Taxonomy Code
207YX0007X
Type
Allopathic & Osteopathic Physicians
License No.
A167718
License State
CA
Taxonomy Description
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207YS0123XAllopathic & Osteopathic Physicians

Otolaryngology
Facial Plastic Surgery

A167718 (CA)
2390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Cong Ran is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Cong Ran is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7719277797

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210510001608

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for CONG RAN

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1317 5TH ST STE 300
SANTA MONICA, CA 90401
General Practice
1317 5TH ST STE 300
SANTA MONICA, CA 90401
Plastic Surgery
1317 5TH ST STE 300
SANTA MONICA, CA 90401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194110700, enumerated as an "individual" on March 31, 2015.

The provider is located at 1317 5TH ST STE 300 SANTA MONICA, CA 90401 and the phone number is (310) 434-0044.

Otolaryngology with taxonomy code 207YX0007X and a focus in Plastic Surgery within the Head & Neck.