Individual provider Active NPI

Kyungmin Kang, M.D.

  • Diagnostic Radiology Physician
  • Pembroke Pines, FL
National Provider Identifier
1215203674
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME128865 Issued in FL
Practice address
500 N Hiatus Rd Ste 200
Pembroke Pines, FL 33026-5213
Phone
(954) 437-4800
Fax
(954) 437-6628
NPI assigned
Mar 29, 2012
Last updated
Dec 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME128865 FL Primary

Addresses

Primary practice location

500 N Hiatus Rd Ste 200
Pembroke Pines, FL 33026-5213

Mailing address

500 N Hiatus Rd Ste 200
Pembroke Pines, FL 33026-5213
Phone (954) 437-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, HI, MI, TN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180323001425 FL Practitioner - Diagnostic Radiology 3678716982 Reassigns benefits to 3 organizations
I20210105003181 HI Practitioner - Diagnostic Radiology 3678716982 Reassigns benefits to 12 organizations
I20210831002247 MI Practitioner - Diagnostic Radiology 3678716982 Reassigns benefits to 1 organization
I20231203000157 TN Practitioner - Diagnostic Radiology 3678716982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550

3645 Sierra Dr
Honolulu, HI 96816-3327
Phone (904) 399-5550

83 Juniper Rd
Hollywood, FL 33021-2817
Phone (904) 399-5550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Quality
86.33
Improvement activities
40
Cost
87.82

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
66.97
Promoting interoperability
100
Improvement activities
40
Cost
75.88

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
96.18
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.41 of 100Reported as group
Quality
91.07
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Aug 7, 2023 Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Jun 4, 2021 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Jun 6, 2021 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Apr 7, 2024 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Oct 10, 2023 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 13, 2022 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Dec 23, 2020 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Hurley Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Sep 30, 2020 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Nov 17, 2020 Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Hurley Medical Center Current Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology PastSince Feb 11, 2024 Accepting new patients
Millennium Medical Imaging PC Diagnostic Radiology PastSince Sep 1, 2025 Accepting new patients
Radiology Associates of Hollywood, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 36)

710 Center St
Ste B
Columbus, GA 31901

581 W Marine Corps Dr
Apt 201
Hagatna, GU 96910
Phone (671) 685-9412

1357 Kapiolani Blvd
Honolulu, HI 96814
Phone (614) 221-7773

1357 Kapiolani Blvd
Ste 830
Honolulu, HI 96814

1937 Momentum Pl
Chicago, IL 60689

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

1201 S Main St
Ste 1
Crown Point, IN 46307

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

221 Windermere Blvd
Alexandria, LA 71303
Phone (318) 427-3300

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

3425 North Blvd
Ste A
Alexandria, LA 71301
Phone (318) 473-1921

651 N Bolton Ave
Alexandria, LA 71301
Phone (318) 443-3511

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

1800 Ryan St
Ste 105
Lake Charles, LA 70601
Phone (337) 291-9161

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

801 Poinciana Ave
Mamou, LA 70554
Phone (337) 457-5740

740 Keyser Ave
Natchitoches, LA 71457
Phone (318) 238-5050

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084

1102 N Pine Rd
Olla, LA 71465
Phone (318) 495-5302

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

1700 Lindberg Dr
Slidell, LA 70458
Phone (800) 598-7291

Organizations & group practices 19

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

View all 19

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1215203674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N HIATUS RD STE 200",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265213",
            "telephone_number": "954-437-4800",
            "fax_number": "954-437-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N HIATUS RD STE 200",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265213",
            "telephone_number": "954-437-4800",
            "fax_number": "954-437-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "KYUNGMIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME128865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.