Individual provider Active NPI

June-Ku Kang, MD

  • Pediatric Pulmonology Physician
  • Austin, TX
National Provider Identifier
1235285909
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
N7116 Issued in TX
Practice address
6811 Austin Center Blvd Ste 400
Austin, TX 78731-3157
Phone
(512) 380-9200
Fax
(512) 380-9201
NPI assigned
Jan 26, 2007
Last updated
May 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X N7116 TX Primary
Pediatric Sleep Medicine Physician 2080S0012X N7116 TX

Addresses

Primary practice location

6811 Austin Center Blvd Ste 400
Austin, TX 78731-3157

Mailing address

6811 Austin Center Blvd Ste 400
Austin, TX 78731-3157
Phone (512) 380-9200

Other practice location 1

1301 Barbara Jordan Blvd Ste 200G
Austin, TX 78723-3078
Phone (512) 380-9200

Other identifiers 1

IdentifierTypeStateIssuer
212938903MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110204000283 TX Practitioner - Pediatric MedicinePractitioner - Pulmonary Disease 0547308249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Pulmonary Disease
Education
New York Medical College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dell Childrens Medical GroupGroup PAC ID 8224092978, 117 clinicians

Practice addresses (Care Compare)

1301 Barbara Jordan Blvd
Austin, TX 78723-3078

4910 Mueller Blvd
Ausitin, TX 78723-3079

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children's Medical Group CurrentSince Jan 1, 2016 Accepting new patients
Dell Children's Medical Group CurrentSince Jan 1, 2016 Accepting new patients

Locations

11111 Research Blvd
Ste 300
Austin, TX 78759
Phone (844) 448-8124

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

1301 Barbara Jordan Blvd
Ste 200G
Austin, TX 78723
Phone (512) 628-1855

1301 Barbara Jordan Blvd
Ste 303
Austin, TX 78723
Phone (512) 324-0970

6811 Austin Center Blvd
Ste 400
Austin, TX 78731
Phone (512) 628-1840

5235 Overpass Rd
Ste 200
Buda, TX 78610
Phone (512) 324-0098

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

Interoperability endpoints

  • Direct secure messaging: june-ku.kang.1@8363.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1235285909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 AUSTIN CENTER BLVD STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313157",
            "telephone_number": "512-380-9200",
            "fax_number": "512-380-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 AUSTIN CENTER BLVD STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313157",
            "telephone_number": "512-380-9200",
            "fax_number": "512-380-9201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Barbara Jordan Blvd Ste 200G",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787233078",
            "country_code": "US",
            "telephone_number": "512-380-9200",
            "fax_number": "512-380-9201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "JUNE-KU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "TX",
            "license": "N7116",
            "primary": true
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "TX",
            "license": "N7116",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212938903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.