Active NPI
Richard Kiang, M.D.
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- Crest Hill, IL
National Provider Identifier
1093939902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 036-07533
- Practice address
- 2430 Plainfield Rd
Crest Hill, IL 60435-1467 - Phone
- (815) 439-2120
- Fax
- (815) 439-2153
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | 2081H0002X | 036-07533 | IL | Primary |
Addresses
Primary practice location
2430 Plainfield Rd
Crest Hill, IL 60435-1467
Mailing address
2430 Plainfield Rd
Crest Hill, IL 60435-1467
Phone (815) 439-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09932080 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-07533 | IL | MD | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093939902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2430 PLAINFIELD RD",
"city": "CREST HILL",
"state": "IL",
"postal_code": "604351467",
"telephone_number": "815-439-2121",
"fax_number": "815-439-2153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 PLAINFIELD RD",
"city": "CREST HILL",
"state": "IL",
"postal_code": "604351467",
"telephone_number": "815-439-2120",
"fax_number": "815-439-2153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIANG",
"first_name": "RICHARD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2081H0002X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
"state": "IL",
"license": "036-07533",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "09932080",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crest Hill, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.