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DR. DAVID MING FUNG KAO M.D.
NPI 1417956020
Specialist in Tualatin, OR

Active since July 15, 2005PECOS Enrolled
6370 SW BORLAND RD STE 200, TUALATIN, OR 97062(503) 691-1122(503) 691-1144 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. David Ming Fung Kao M.d. NPPES

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

DR. DAVID MING FUNG KAO M.D. (NPI 1417956020) is an individual specialist in Tualatin, Oregon, licensed in Oregon (23409) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417956020
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. DAVID MING FUNG KAOCredential: M.D.
Location Address6370 SW BORLAND RD STE 200Tualatin, OR 97062-9752
Mailing Address6370 Sw Borland Rd Ste 200Tualatin, OR 97062-9752 · (503) 691-1122 · Fax (503) 691-1144
Phone(503) 691-1122
Fax(503) 691-1144
Sole ProprietorYes
Enumeration DateJuly 15, 2005
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
✔ NPI 1417956020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · 23409
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6370 SW BORLAND RD STE 200, Tualatin, OR 97062
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Other Identifiers 1

Medicaid287107OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Ming Fung Kao M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show David Kao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Skin Cancer Surgery Center
Same address
Preferred Provider Organization
6370 SW BORLAND RD., SUITE 200
Tualatin, OR 97062
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: David M Kao MD PC
  • 3 clinicians in this Medicare group
NPI 1699943126 (503) 691-1122

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

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 David Kao's NPI number?

The NPI number for David Kao is 1417956020. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is David Kao located?

David Kao practices at 6370 SW Borland Rd Ste 200, Tualatin, OR 97062. The listed phone number is (503) 691-1122.

What is David Kao's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is David Kao enrolled in Medicare?

Yes. David Kao is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Kao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Kao reassigns Medicare benefits to Skin Cancer Surgery Center (Tualatin, OR). The 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 David Kao'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 David Kao was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.