NPIMap

Individual provider Active NPI

Brian Kung, M.D.

  • Otology & Neurotology Physician
  • Las Vegas, NV
National Provider Identifier
1235352394
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
21963 Issued in NV
Practice address
3692 E Sunset Rd
Las Vegas, NV 89120-7237
Phone
(702) 735-7668
Fax
(702) 735-1411
NPI assigned
Apr 10, 2007
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X C1-0007869 DE
Otology & Neurotology Physician 207YX0901X A103146 CA
Otology & Neurotology Physician 207YX0901X 60913455 WA
Otology & Neurotology Physician 207YX0901X 21963 NV Primary

Addresses

Primary practice location

3692 E Sunset Rd
Las Vegas, NV 89120-7237

Mailing address

11035 Lavender Hill Dr # 160-589
Las Vegas, NV 89135-2955
Phone (267) 515-4199

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190918000929 WA Practitioner - Otolaryngology 4587790092 Reassigns benefits to 1 organization
I20220323002778 NV Practitioner - OtolaryngologyPractitioner - Other (Physician) 4587790092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sean D. Palacios MD PLLCGroup PAC ID 0042484776, 6 clinicians

Practice addresses (Care Compare)

3686 E Sunset Rd
Las Vegas, NV 89120-7220
Phone (702) 735-7668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0007869DEMDOtolaryngology Physician
A103146CAMDOtology & Neurotology Physician
60913455WAMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Jul 20, 2019 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jul 20, 2019 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Sean D. Palacios MD PLLC Otolaryngology CurrentSince Apr 1, 2022 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Lubbock County Hospital District Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

3686 E Sunset Rd
Las Vegas, NV 89120
Phone (702) 735-7668

3692 E Sunset Rd
Las Vegas, NV 89120
Phone (702) 735-7668

3692 E Sunset Rd
#I
Las Vegas, NV 89120
Phone (702) 735-7668

125 16th Ave E
Seattle, WA 98112
Phone (206) 326-3530

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

310 15th Ave E
Seattle, WA 98112
Phone (206) 326-3500

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: bkung@dsp-nv.direct.office.nextgen.com

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1235352394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 LAVENDER HILL DR # 160-589",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352955",
            "telephone_number": "267-515-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3692 E SUNSET RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891207237",
            "telephone_number": "702-735-7668",
            "fax_number": "702-735-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNG",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "DE",
            "license": "C1-0007869",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "CA",
            "license": "A103146",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "WA",
            "license": "60913455",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "NV",
            "license": "21963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "125 16th Ave E",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981125211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.