KANG AN MD
NPI 1790668218
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Q: What is Kang An's NPI number?

The NPI number for Kang An is 1790668218. It was assigned to this individual provider in the NPPES registry on July 30, 2025.

Q: What is Kang An's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kang An was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 30, 2025PECOS Enrolled

9500 EUCLID AVE # JJ24, CLEVELAND, OH 44195(216) 444-2200 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Kang An Md NPPES

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

KANG AN MD (NPI 1790668218) is an individual student in an organized health care education/training program in Cleveland, Ohio, licensed in Ohio (57.259190) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790668218

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKANG ANCredential: MD

Location Address9500 EUCLID AVE # JJ24Cleveland, OH 44195-0001

Mailing Address10300 Cedar Ave Apt 320Cleveland, OH 44106-2116 · (614) 495-6455

Phone(216) 444-2200

Sole ProprietorYes

Enumeration DateJuly 30, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1790668218 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

License✔ Licensed in OH · 57.259190

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.

9500 EUCLID AVE # JJ24, Cleveland, OH 44195

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kang An Md 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.

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.

DR. BRANDY LEE SWEENEY DO

Student in an Organized Health Care Education/Training Program