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KALLE KANG M.D.
NPI 1780626630
Internal Medicine - Gastroenterology in Bellevue, WA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
1135 116TH AVE NE, SUITE 560, BELLEVUE, WA 98004(425) 454-4768(425) 462-8021 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2026, Jul 29, 2024, Jun 21, 2019 and 2 more (5 updates tracked since 2018).

About Kalle Kang M.d. NPPES

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

KALLE KANG M.D. (NPI 1780626630) is an individual gastroenterology provider in Bellevue, Washington, licensed in Washington (MD00024250) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780626630
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameKALLE KANGCredential: M.D.
Location Address1135 116TH AVE NE, SUITE 560Bellevue, WA 98004-4623
Mailing Address1135 116th Ave Ne Ste 560Bellevue, WA 98004-4631
Phone(425) 454-4768
Fax(425) 462-8021
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateJune 12, 2006
Last NPPES UpdateApril 21, 20265 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1780626630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in WA · MD00024250✔ Licensed in HI · MD-24537✔ Licensed in TN · 77618
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1135 116TH AVE NE, Bellevue, WA 98004
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1221 Mahalani StWailuku, HI 96793-2526 · Phone (808) 244-9056
Location 28000 Wolf River Blvd Ste 200Germantown, TN 38138-1755 · Phone (901) 747-3630 · Fax (901) 747-4149

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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

Kalle 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.

PECOS PAC ID7113828344
PECOS Enrollment IDI20060313000104, I20250606003336
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

3

Medicare enrollment records show Kalle Kang reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Washington Gastroenterology PLLC
23 mi
Clinical Medical Laboratory
33915 1ST WAY S STE 203
Federal Way, WA 98003
  • Reassigned Medicare billing, Washington enrollment
  • 148 clinicians in this Medicare group
NPI 1245265826 (253) 838-9839
St Luke's Clinic LLC
512 mi
Family Medicine
775 POLE LINE RD W
Twin Falls, ID 83301
  • Reassigned Medicare billing, Idaho enrollment
  • Medicare enrollment name: St Lukes Clinic LLC
  • 322 clinicians in this Medicare group
NPI 1790718229 (208) 814-1000
Gastroenterology Center Of The Midsouth PLLC
1,874 mi
Gastroenterology
8000 WOLF RIVER BLVD STE 200
Germantown, TN 38138
  • Reassigned Medicare billing, Tennessee enrollment
  • 154 clinicians in this Medicare group
NPI 1417932492 (901) 747-3630

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 10

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
104 services104 patients
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.
79 services74 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
72 services70 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
45 services45 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.
42 services41 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
38 services38 patients

Hospital Affiliations CMS Care Compare 2

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

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
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 20

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

JOSEPH W DOUCETTE M.D.
Internal Medicine (Cardiovascular Disease)
1135 116TH AVE NE, SUITE 600
BELLEVUE, WA 98004
King County (425) 454-2656
WASHINGTON IMAGING SERVICES LLC
Specialist
1135 116TH AVE NE, STE 260
BELLEVUE, WA 98004
King County (425) 688-0100
ROANNE R E SELINGER MD
Internal Medicine (Gastroenterology)
1135 116TH AVE NE, #560
BELLEVUE, WA 98004
King County (425) 454-4768
OVERLAKE BREAST IMAGING LLC
Clinic/Center (Radiology)
1135 116TH AVE NE, SUITE 255
BELLEVUE, WA 98004
King County (425) 467-3754
DAVID C MORTON M.D.
Internal Medicine
1135 116TH AVE NE, SUITE 110A
BELLEVUE, WA 98004
King County (425) 289-3100
SHIE-PON TZUNG MD PHD
Internal Medicine (Gastroenterology)
1135 116TH AVE NE, #560
BELLEVUE, WA 98004
King County (425) 454-4768
PROLIANCE SURGEONS INC., P.S.
Orthopaedic Surgery
1135 116TH AVE NE, SUITE 510
BELLEVUE, WA 98004
King County (425) 455-3600
OVERLAKE MEDICAL TOWER PHARMACY
Pharmacy (Community/Retail Pharmacy)
1135 116TH AVE NE, STE 105
BELLEVUE, WA 98004
King County (425) 688-5958

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 Kalle Kang's NPI number?

The NPI number for Kalle Kang is 1780626630. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Kalle Kang located?

Kalle Kang practices at 1135 116th Ave NE Suite 560, Bellevue, WA 98004. The listed phone number is (425) 454-4768.

What is Kalle Kang's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kalle Kang enrolled in Medicare?

Yes. Kalle 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 Kalle Kang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kalle Kang reassigns Medicare benefits to 3 organizations: Washington Gastroenterology PLLC (Federal Way, WA), St Luke's Clinic LLC (Twin Falls, ID) and Gastroenterology Center Of The Midsouth PLLC (Germantown, TN). 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 Kalle Kang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kalle Kang accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Kalle 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.

Is Kalle Kang affiliated with any hospitals?

According to CMS data, Kalle Kang is affiliated with St Lukes Magic Valley Medical Center and Overlake Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Kalle Kang was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.