1. Home
  2. Directory
  3. Michigan
  4. Ann Arbor
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JIN KOOK KANG MD
NPI 1245790203
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since March 24, 2019PECOS Enrolled
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109(734) 764-3186 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, Mar 24, 2019 (2 updates tracked since 2019).

About Jin Kook Kang Md NPPES

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

JIN KOOK KANG MD (NPI 1245790203) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4301516487) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245790203
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJIN KOOK KANGCredential: MD
Location Address1500 E MEDICAL CENTER DRAnn Arbor, MI 48109-5000
Mailing Address1500 E Medical Center DrAnn Arbor, MI 48109-5000 · (734) 764-3186 · Fax (734) 763-5889
Phone(734) 764-3186
Sole ProprietorYes
Enumeration DateMarch 24, 2019
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1245790203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4301516487
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jin Kook Kang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. TAMI L. REMINGTON PHARM.D.
Pharmacist (Pharmacotherapy)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5023
DR. KARLA AURORA BLACKWOOD MD
Psychiatry & Neurology (Psychiatry)
1500 E MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI 48109
Washtenaw County (734) 996-4747
DEBORAH LOUISE VIHER NP
Nurse Practitioner
1500 E MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI 48109
Washtenaw County (734) 647-5944
MS. DEBRA BANCROFT RIZZO F.N.P.-C
Nurse Practitioner
1500 E MEDICAL CENTER DR, 3RD TAUBMAN CENTER RECP A
ANN ARBOR, MI 48109
Washtenaw County (734) 647-5900
DR. ELIZABETH KATHERINE SPELIOTES MD PHD
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI 48109
Washtenaw County (734) 647-5944
DR. ROBERT ADAM LIOTTA M.D.
Radiology (Diagnostic Radiology)
1500 E MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4566
LISA A HARRIS SPINNER CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR, 1ST FLOOR TAUBMAN CENTER RECP E
ANN ARBOR, MI 48109
Washtenaw County (734) 763-6295
SHANNON LEE MITCHELL CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4280

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 Jin Kook Kang's NPI number?

The NPI number for Jin Kook Kang is 1245790203. It was assigned to this individual provider in the NPPES registry on March 24, 2019.

Where is Jin Kook Kang located?

Jin Kook Kang practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (734) 764-3186.

What is Jin Kook Kang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jin Kook Kang enrolled in Medicare?

Yes. Jin Kook Kang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jin Kook Kang was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.