Individual provider Active NPI

Gurjeet S. Kang, DO

  • Gastroenterology Physician
  • Newport News, VA
National Provider Identifier
1144635178
Registry record updated Mar 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0102206645 Issued in VA
Practice address
11803 Jefferson Ave Ste 230
Newport News, VA 23606-4390
Phone
(757) 534-7701
Fax
(757) 534-7708
NPI assigned
Jun 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34.012221 OH
Gastroenterology Physician 207RG0100X 0102206645 VA Primary

Addresses

Primary practice location

11803 Jefferson Ave Ste 230
Newport News, VA 23606-4390

Mailing address

11803 Jefferson Ave Ste 230
Newport News, VA 23606-4390
Phone (757) 534-7701

Other practice location 1

217 Bulifants Blvd Ste B
Williamsburg, VA 23188-5751
Phone (757) 534-7701

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address colgastro@directaddress.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210730000153 VA Practitioner - Gastroenterology 6507181823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Touro Un Col of Osteopathic Medicine, New York, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

11803 Jefferson Ave
Suite 230
Newport News, VA 23606-4390
Phone (757) 534-7701

Hospital & facility affiliations

  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy113
Upper gastrointestinal (GI) endoscopy for acid reflux122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.012221OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Digestive Care, LLC Gastroenterology CurrentSince Oct 16, 2021 Accepting new patients
Capital Digestive Care, LLC Internal Medicine CurrentSince Oct 16, 2021 Accepting new patients
Capital Digestive Care ,LLC Gastroenterology Past Accepting new patients

Locations

113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285

11803 Jefferson Ave
Ste 230
Newport News, VA 23606
Phone (757) 534-7701

400 Sentara Cir
Ste 103
Williamsburg, VA 23188
Phone (757) 253-5771

217 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 534-7701

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709942400000",
    "number": "1144635178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11803 JEFFERSON AVE STE 230",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064390",
            "telephone_number": "757-534-7701",
            "fax_number": "757-534-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 JEFFERSON AVE STE 230",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064390",
            "telephone_number": "757-534-7701",
            "fax_number": "757-534-7708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Bulifants Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885751",
            "country_code": "US",
            "telephone_number": "757-534-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "GURJEET",
        "middle_name": "S.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-28",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.012221",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0102206645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "colgastro@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "colgastro@directaddress.net",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11803 Jefferson Ave Ste 230",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236064390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.