ELISE MIN-JI KANG MD MS
NPI 1992200851
Pediatrics - Pediatric Transplant Hepatology in New York, NY

Active since March 24, 2018PECOS EnrolledAccepts Medicare Assignment
3959 BROADWAY, NEW YORK, NY 10032(212) 305-8504 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Elise Min-ji Kang Md Ms NPPES

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

ELISE MIN-JI KANG MD MS (NPI 1992200851) is an individual pediatric transplant hepatology provider in New York, New York, licensed in New York (300852) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1992200851
Entity TypeIndividualFemale
Primary Taxonomy2080T0004X
Provider Legal NameELISE MIN-JI KANGCredential: MD MS
Location Address3959 BROADWAYNew York, NY 10032-1559
Mailing Address3959 BroadwayNew York, NY 10032-1559
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 24, 2018
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1992200851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Transplant HepatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080T0004X
License✔ Licensed in NY · 300852
Definition
A pediatrician with expertise in transplant hepatology encompasses the special knowledge and skill required of pediatric gastroenterologists to care for patients prior to and following hepatic transplantation; it spans all phases of liver transplantation.
Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X · License 300852 (NY)
3959 BROADWAY, New York, NY 10032

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

Elise Min-ji Kang Md Ms 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 ID7719487883
PECOS Enrollment IDI20250822002610
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

2

Medicare enrollment records show Elise Kang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
Diagnostic Radiology
25 ROCKWOOD PL STE 215
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 149 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.

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.

Pediatrics
3959 BROADWAY
NEW YORK, NY 10032
Nurse Practitioner (Neonatal)
3959 BROADWAY
NEW YORK, NY 10032
Physician Assistant
3959 BROADWAY
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Neonatal-Perinatal Medicine)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
Nurse Practitioner (Pediatrics)
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Pediatric Gastroenterology)
3959 BROADWAY
NEW YORK, NY 10032
Occupational Therapist
3959 BROADWAY
NEW YORK, NY 10032

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 Elise Kang's NPI number?

The NPI number for Elise Kang is 1992200851. It was assigned to this individual provider in the NPPES registry on March 24, 2018.

Where is Elise Kang located?

Elise Kang practices at 3959 Broadway, New York, NY 10032. The listed phone number is (212) 305-8504.

What is Elise Kang's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Transplant Hepatology, with taxonomy code 2080T0004X.

Is Elise Kang enrolled in Medicare?

Yes. Elise 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 Elise Kang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elise Kang reassigns Medicare benefits to 2 organizations: Trustees Of Columbia University In The City Of New York (New York, NY) and Columbia Doctors Of New Jersey, P. C. (Englewood, NJ). 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 Elise 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 Elise Kang was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.