KENNETH MYUNGDEI KANG M.D.
NPI 1760495980
Dermatology in Clackamas, OR
About Kenneth Myungdei Kang M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH MYUNGDEI KANG M.D. (NPI 1760495980) is an individual dermatology provider in Clackamas, Oregon, licensed in Oregon (MD17781) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Kenneth Myungdei Kang M.d. 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 Reassignment
Medicare enrollment records show Kenneth Kang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clackamas, OR 97015
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1871848457 (Washington)
- 3,207 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 97015 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.
CLACKAMAS, OR 97015
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 1760495980. It was assigned to this individual provider in the NPPES registry on August 15, 2006.
Where is Kenneth Kang located?
Kenneth Kang practices at 9900 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 571-0000.
What is Kenneth Kang's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Kenneth Kang enrolled in Medicare?
Yes. Kenneth 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 organization bills Medicare for Kenneth Kang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Kang reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Clackamas, 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 Kenneth Kang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Kang accept?
Health plans from Kaiser Permanente list Kenneth Kang 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.
When was this NPI record last updated?
The NPPES record for Kenneth Kang was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Kenneth Myungdei Kang, M.D. · NPI 1760495980
Dermatology physician in Clackamas, Oregon. Individual provider, active in the CMS NPPES registry since August 15, 2006.
## Identity
- **NPI:** 1760495980 (Entity type: Individual)
- **Enumerated:** August 15, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** MD17781 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9900 SE SUNNYSIDE RD, Clackamas, OR 97015-9777
- **Phone:** (503) 571-0000
## 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:** Kaiser Foundation Health Plan Of The Northwest (NPI 1174851505, Clackamas, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** July 10, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1760495980) · Data from the CMS NPPES public registry.