DR. SHINHO THOMAS KANG M.D.
NPI 1912433368
Surgery in Little Rock, AR

Active since May 04, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
629 JACK STEPHENS DR, LITTLE ROCK, AR 72205(501) 291-1200(501) 686-8551 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2023, Sep 4, 2018 (2 updates tracked since 2018).

About Dr. Shinho Thomas Kang M.d. NPPES

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

DR. SHINHO THOMAS KANG M.D. (NPI 1912433368) is an individual surgery provider in Little Rock, Arkansas, licensed in Arkansas (E-16769) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cincinnati, and is a graduate of Creighton University School Of Medicine (2017).

NPPES Registry Identity

NPI1912433368
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SHINHO THOMAS KANGCredential: M.D.
Location Address629 JACK STEPHENS DRLittle Rock, AR 72205-5525
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148
Fax(501) 686-8551
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2017
Enumeration DateMay 4, 2017
Last NPPES UpdateSeptember 8, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
NPI 1912433368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in AR · E-16769
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
629 JACK STEPHENS DR, Little Rock, AR 72205

Other Names 1

Other Name (5)Tom Kang

Secondary Practice Location 1

Location 1375 Dixmyth AveCincinnati, OH 45220 · Phone (513) 862-3562

Accepted Insurance

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

Dr. Shinho Thomas 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 ID5496000556
PECOS Enrollment IDI20230922002191
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.

Areas of Expertise CMS Part B claims 11

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.

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.
98 services64 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
42 services42 patients
Diagnostic exam of lower portion of large bowel using a flexible endoscope 45330
This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.
40 services31 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
39 services39 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
36 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.86
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Occupational Therapist
629 JACK STEPHENS DR, REHABILITATION SERVICES
LITTLE ROCK, AR 72205
Physical Therapist
629 JACK STEPHENS DR
LITTLE ROCK, AR 72205
Physical Therapist
629 JACK STEPHENS DR, SLOT 805
LITTLE ROCK, AR 72205
Internal Medicine (Geriatric Medicine)
629 JACK STEPHENS DR
LITTLE ROCK, AR 72205
Family Medicine
629 JACK STEPHENS DR
LITTLE ROCK, AR 72205
Physician Assistant
629 JACK STEPHENS DR
LITTLE ROCK, AR 72205
Physician Assistant (Medical)
629 JACK STEPHENS DR
LITTLE ROCK, AR 72205
Nurse Practitioner (Gerontology)
629 JACK STEPHENS DR
LITTLE ROCK, AR 72205

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 Shinho Kang's NPI number?

The NPI number for Shinho Kang is 1912433368. It was assigned to this individual provider in the NPPES registry on May 4, 2017. The provider is also known as Tom Kang.

Where is Shinho Kang located?

Shinho Kang practices at 629 Jack Stephens Dr, Little Rock, AR 72205. The listed phone number is (501) 291-1200.

What is Shinho Kang's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Shinho Kang enrolled in Medicare?

Yes. Shinho 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.

What insurance does Shinho Kang accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Shinho 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 Shinho Kang was last updated on September 8, 2023. 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.