LUKE CHANG-DAE KANG MD
NPI 1811576358
Family Medicine in Ukiah, CA
About Luke Chang-dae Kang Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUKE CHANG-DAE KANG MD (NPI 1811576358) is an individual family medicine provider in Ukiah, California, licensed in California (192721) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Luke Chang-dae Kang Md 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 Reassignments
2Medicare enrollment records show Luke Kang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tamuning, GU 96913
- Reassigned Medicare billing, Guam enrollment
- 105 clinicians in this Medicare group
Tamuning, GU 96913
- Reassigned Medicare billing, Guam enrollment
- 33 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 95482 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
UKIAH, CA 95482
UKIAH, CA 95482
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 Luke Kang's NPI number?
The NPI number for Luke Kang is 1811576358. It was assigned to this individual provider in the NPPES registry on April 2, 2021.
Where is Luke Kang located?
Luke Kang practices at 260 Hospital Dr Ste 209, Ukiah, CA 95482. The listed phone number is (707) 463-7483.
What is Luke Kang's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Luke Kang enrolled in Medicare?
Yes. Luke 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 Luke Kang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Luke Kang reassigns Medicare benefits to 2 organizations: General Conference Corp Of Sda (Tamuning, GU) and Guam Seventh-Day Adventist Clinic Inc. (Tamuning, GU). 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 Luke 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 Luke Kang was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Luke Chang-Dae Kang, MD · NPI 1811576358
Family Medicine physician in Ukiah, California. Individual provider, active in the CMS NPPES registry since April 2, 2021.
## Identity
- **NPI:** 1811576358 (Entity type: Individual)
- **Enumerated:** April 2, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 192721 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 260 HOSPITAL DR STE 209, Ukiah, CA 95482-4568
- **Phone:** (707) 463-7483
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): General Conference Corp Of Sda (NPI 1275586877, Tamuning, GU); Guam Seventh-Day Adventist Clinic Inc. (NPI 1003762089, Tamuning, GU) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** August 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1811576358) · Data from the CMS NPPES public registry.