Individual provider Active NPI

Katherine Kuang, MD

  • Pediatrics Physician
  • Flushing, NY
National Provider Identifier
1174082903
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
317886 Issued in NY
Practice address
13743 45TH Ave
Flushing, NY 11355-4048
Phone
(929) 362-3006
Fax
(929) 362-3029
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 317886 NY Primary

Addresses

Primary practice location

13743 45TH Ave
Flushing, NY 11355-4048

Mailing address

125 Walker St FL 2
New York, NY 10013-4135
Phone (212) 226-8866

Other practice location 1

13620 Maple Ave Ste C305
Flushing, NY 11355-5166
Phone (347) 588-1598

Other practice location 2

8705 19th Ave
Brooklyn, NY 11214-3813
Phone (718) 256-5608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250618000285 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4284145020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charles B. Wang Community Health Center, Inc. Past Accepting new patients
Charles B. Wang Community Health Center, Inc. PastSince Jun 15, 2025 Accepting new patients

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: kkuang821859@direct.ochin.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1174082903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WALKER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134135",
            "telephone_number": "212-226-8866",
            "fax_number": "212-226-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13743 45TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554048",
            "telephone_number": "929-362-3006",
            "fax_number": "929-362-3029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13620 Maple Ave Ste C305",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113555166",
            "country_code": "US",
            "telephone_number": "347-588-1598",
            "fax_number": "718-569-6886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8705 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112143813",
            "country_code": "US",
            "telephone_number": "718-256-5608",
            "fax_number": "718-256-5609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUANG",
        "first_name": "KATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "317886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.