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LUKE CHANG-DAE KANG MD
NPI 1811576358
Family Medicine in Ukiah, CA

Active since April 02, 2021PECOS EnrolledAccepts Medicare Assignment
260 HOSPITAL DR STE 209, UKIAH, CA 95482(707) 463-7483 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2024, Aug 4, 2024, Apr 23, 2024 and 1 more (4 updates tracked since 2021).

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

NPI1811576358
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLUKE CHANG-DAE KANGCredential: MD
Location Address260 HOSPITAL DR STE 209Ukiah, CA 95482-4568
Mailing Address260 Hospital Dr Ste 209Ukiah, CA 95482-4568 · (707) 463-7483
Phone(707) 463-7483
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2021
Enumeration DateApril 2, 2021
Last NPPES UpdateAugust 9, 20244 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1811576358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · 192721✔ Licensed in GU · TLL-2024-003
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
260 HOSPITAL DR STE 209, Ukiah, CA 95482
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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 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.

PECOS PAC ID6709324023
PECOS Enrollment IDI20251201000463
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.

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.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 5

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

MRS. FRANCES ANN LAUGHTON FNP
Nurse Practitioner (Family)
260 HOSPITAL DR STE 209
UKIAH, CA 95482
Mendocino County (707) 463-8000
TRACY LORENE BURRIS FNP
Nurse Practitioner (Family)
260 HOSPITAL DR STE 209
UKIAH, CA 95482
Mendocino County (707) 463-8000
HOLLY MARIE ASTIN MD
Family Medicine
260 HOSPITAL DR STE 209
UKIAH, CA 95482
Mendocino County (707) 463-7483
MS. ADRIENNE ELIZABETH CARFI-ZAVALA FNP
Nurse Practitioner (Family)
260 HOSPITAL DR STE 209
UKIAH, CA 95482
Mendocino County (707) 463-7483
APHRAEL GENEVIEVE DUNSTON FNP, RN
Nurse Practitioner (Family)
260 HOSPITAL DR STE 209
UKIAH, CA 95482
Mendocino County (707) 463-7487

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.

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 23 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.