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KENNETH KANG DO
NPI 1760003602
Student in an Organized Health Care Education/Training Program in Anchorage, AK

Active since May 01, 2020PECOS Enrolled
1201 E 36TH AVE, ANCHORAGE, AK 99508(907) 562-9229 Get Directions Write a Review

NPPES record last updated: May 1, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kenneth Kang Do NPPES

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

KENNETH KANG DO (NPI 1760003602) is an individual student in an organized health care education/training program in Anchorage, Alaska and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760003602
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKENNETH KANGCredential: DO
Location Address1201 E 36TH AVEAnchorage, AK 99508-4372
Mailing AddressPo Box 4105Portland, OR 97208-4105 · (866) 907-1068 · Fax (425) 917-9141
Phone(907) 562-9229
Sole ProprietorNo
Enumeration DateMay 1, 2020
NPPES CertifiedMay 1, 2020
✔ NPI 1760003602 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
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.
1201 E 36TH AVE, Anchorage, AK 99508
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Kang Do 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 Kenneth Kang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Norton Sound Health Corporation
540 mi
Critical Access
1000 GREG KRUSCHEK AVE
Nome, AK 99762
  • Reassigned Medicare billing, Alaska enrollment
  • Also billed through NPI 1225101041 (Alaska)
  • 193 clinicians in this Medicare group
NPI 1154358232 (907) 443-3311

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

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RAYMOND PASTORINO PHD
Psychologist
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229
DR. WILLIAM MURRAY BUTTNER MD
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229
ROBERT L MCALISTER MD
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-2992
SAMUEL C CASTLES MD
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229
EMMA F MAYFIELD DO
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229
MATTHEW A COLLICOTT DO
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229
MARIN GRANHOLM MD
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229
ASHLEY L FRANKLIN MD
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229

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 Kenneth Kang's NPI number?

The NPI number for Kenneth Kang is 1760003602. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Kenneth Kang located?

Kenneth Kang practices at 1201 E 36th Ave, Anchorage, AK 99508. The listed phone number is (907) 562-9229.

What is Kenneth 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 Kenneth Kang enrolled in Medicare?

Yes. Kenneth Kang is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Kang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Kang reassigns Medicare benefits to Norton Sound Health Corporation (Nome, AK). 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 Kenneth 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 Kenneth Kang was last updated on May 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.