WOOSUN KANG MD
NPI 1417444506
Internal Medicine - Cardiovascular Disease in Santa Rosa, CA
About Woosun Kang Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WOOSUN KANG MD (NPI 1417444506) is an individual cardiovascular disease provider in Santa Rosa, California, licensed in Massachusetts (1022833) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
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
Woosun Kang 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.
Medicare Billing Reassignments
2Medicare enrollment records show Woosun Kang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Cambridge, MA 02139
- Reassigned Medicare billing, Massachusetts enrollment
- 719 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
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 Woosun Kang's NPI number?
The NPI number for Woosun Kang is 1417444506. It was assigned to this individual provider in the NPPES registry on April 16, 2018.
Where is Woosun Kang located?
Woosun Kang practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (781) 858-6434.
What is Woosun Kang's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Woosun Kang enrolled in Medicare?
Yes. Woosun 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 organizations bill Medicare for Woosun Kang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Woosun Kang reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Vallejo, CA) and Cambridge Public Health Commission (Cambridge, MA). 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 Woosun 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 Woosun Kang was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Woosun Kang, MD · NPI 1417444506
Cardiovascular Disease physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since April 16, 2018.
## Identity
- **NPI:** 1417444506 (Entity type: Individual)
- **Enumerated:** April 16, 2018
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 1022833 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 BICENTENNIAL WAY, Santa Rosa, CA 95403-2149
- **Phone:** (781) 858-6434
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA); Cambridge Public Health Commission (NPI 1487603585, Cambridge, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** August 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417444506) · Data from the CMS NPPES public registry.