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INSU KONG MD
NPI 1346227188
Obstetrics & Gynecology - Gynecology in Westerly, RI

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
31 CRESTVIEW DR, WESTERLY, RI 02891(401) 596-9939(401) 596-9637 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Insu Kong Md NPPES

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

INSU KONG MD (NPI 1346227188) is an individual gynecology provider in Westerly, Rhode Island, licensed in Rhode Island (10135) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Newport Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1989).

NPPES Registry Identity

NPI1346227188
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameINSU KONGCredential: MD
Location Address31 CRESTVIEW DRWesterly, RI 02891-2901
Mailing Address31 Crestview DrWesterly, RI 02891-2901 · (401) 596-9939 · Fax (401) 596-9637
Phone(401) 596-9939
Fax(401) 596-9637
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1989
Enumeration DateDecember 22, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1346227188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in RI · 10135
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
31 CRESTVIEW DR, Westerly, RI 02891
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Other Identifiers 6

Medicaid9002855RI
Other010010135R101Anthem
Other128554RI · Bcbs
Other0701186Uhc
OtherP22447Oxford
OtherOV6530Healthnet

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Insu Kong Md 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 ID4688588171
PECOS Enrollment IDI20031118000862
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Insu Kong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group, Inc.
38 mi
General Practice
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1407116643 (401) 444-6779
The Miriam Hospital
40 mi
Multi-Specialty
146 W RIVER ST
Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • 53 clinicians in this Medicare group
NPI 1164716031 (401) 793-3215

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
369 services320 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.
193 services193 patients
Fitting and insertion of vaginal support device 57160
A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.
29 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newport Hospital

Acute Care Hospitals · Newport, RI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410006
Location11 Friendship StreetNewport, RI 02840 · Newport County
Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410008
Location100 Kenyon AveWakefield, RI 02879 · Washington County
Emergency services Birthing friendly

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02891 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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 4

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

DMR FAMILY & COSMETIC DENTISTRY
Exclusive Provider Organization
31 CRESTVIEW DR
WESTERLY, RI 02891
Washington County (401) 596-7734
GREGORY CHARLES SHNITKIND DMD
Dentist (General Practice)
31 CRESTVIEW DR
WESTERLY, RI 02891
Washington County (401) 596-7734
DR. ANTONIO JOHN MATTERO D.D.S.
Dentist (General Practice)
31 CRESTVIEW DR
WESTERLY, RI 02891
Washington County (401) 596-7734
ANTONIO J. MATTERO, D.D.S. INC.
Dentist (General Practice)
31 CRESTVIEW DR
WESTERLY, RI 02891
Washington County (401) 596-7734

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 Insu Kong's NPI number?

The NPI number for Insu Kong is 1346227188. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Insu Kong located?

Insu Kong practices at 31 Crestview Dr, Westerly, RI 02891. The listed phone number is (401) 596-9939.

What is Insu Kong's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Insu Kong enrolled in Medicare?

Yes. Insu Kong 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 organizations bill Medicare for Insu Kong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Insu Kong reassigns Medicare benefits to 2 organizations: Lifespan Physician Group, Inc. (Providence, RI) and The Miriam Hospital (Providence, RI). Each 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 Insu Kong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Insu Kong accept?

Health plans from Anthem Blue Cross and Blue Shield list Insu Kong 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.

Is Insu Kong affiliated with any hospitals?

According to CMS data, Insu Kong is affiliated with Newport Hospital, Rhode Island Hospital, South County Hospital Inc and Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Insu Kong was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.