Individual provider Active NPI

Gurjaipal Kang

  • Interventional Cardiology Physician
  • Erie, PA
National Provider Identifier
1255335220
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD068157-L Issued in PA
Practice address
120 E 2ND St FL 2
2ND Floor
Erie, PA 16507-1579
Phone
(814) 456-8980
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD068157-L PA Primary

Addresses

Primary practice location

120 E 2ND St FL 2
2ND Floor
Erie, PA 16507-1579

Mailing address

333 State St Ste 103
2ND Floor
Erie, PA 16507-1450

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gurjaipal.s.kang@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040213000222 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 7113811621 Reassigns benefits to 3 organizations
I20100824000233 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7113811621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians
Great Lakes Physician Practice PCGroup PAC ID 6709007701, 143 clinicians
Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians

Practice addresses (Care Compare)

100 Fairfield Dr
Seneca, PA 16346-2130
Phone (412) 432-5203

120 E 2ND St
Erie, PA 16507-1537

201 State St
Erie, PA 16550-0002
Phone (814) 877-6000

3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381

504 Central Ave
Dunkirk, NY 14048-2515
Phone (716) 366-9008

751 Liberty St
Meadville, PA 16335-2559
Phone (814) 333-5155

765 Liberty St
Suite 105
Meadville, PA 16335-2567
Phone (814) 373-2310

Hospital & facility affiliations

  • Upmc Hamot Hospital, Erie, PA, CCN 390063
  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113
  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239
  • Titusville Area Hospital Hospital, Titusville, PA, CCN 391314
  • Upmc Northwest Hospital, Seneca, PA, CCN 390091

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting92
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD068157-LPAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jamestown Area Medical Associates, L.L.P. CurrentSince Jun 1, 1997 Accepting new patients
Great Lakes Physician Practice PC CurrentSince Jan 1, 2018 Accepting new patients
Regional Health Services Inc CurrentSince Jan 1, 2018 Accepting new patients
Upmc Hamot Past Accepting new patients

Locations

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

504 Central Ave
Dunkirk, NY 14048
Phone (716) 366-9008

12 Center St
Ste 1
Fredonia, NY 14063
Phone (716) 679-2233

12 Center St
Ste 4
Fredonia, NY 14063
Phone (716) 672-8790

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

106 Gateway Ave
Conneaut, OH 44030
Phone (440) 593-7360

120 E 2nd St
Fl 2
Erie, PA 16507
Phone (814) 877-9700

3330 Peach St
Ste 203
Erie, PA 16508
Phone (814) 864-5748

3330 Peach St
Erie, PA 16508
Phone (814) 866-0807

104 E 2nd St
Erie, PA 16507
Phone (814) 455-4404

333 State St
Ste 103
Erie, PA 16507

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

120 E 2nd St
Erie, PA 16507
Phone (814) 453-6751

765 Liberty St
Ste 105
Meadville, PA 16335
Phone (814) 373-2310

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

2 Hot Metal St
Bldg E301
Pittsburgh, PA 15203

Organizations & group practices 6

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 9

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1255335220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 STATE ST STE 103",
            "address_2": "2ND FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST FL 2",
            "address_2": "2ND FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071579",
            "telephone_number": "814-456-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "GURJAIPAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD068157-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gurjaipal.s.kang@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.