NPIMap

Individual provider Active NPI

Pritpal S Kang, MD

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1285659565
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
133612 Issued in NY
Practice address
705 86TH St
Brooklyn, NY 11228-3232
Phone
(718) 836-0600
Fax
(718) 836-0078
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X 133612 NY
Cardiovascular Disease Physician 207RC0000X 133612 NY Primary

Addresses

Primary practice location

705 86TH St
Brooklyn, NY 11228-3232

Mailing address

705 86TH St
Brooklyn, NY 11228-3232
Phone (718) 836-0600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060307000041 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4082620653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

705 86TH St
Suite M3
Brooklyn, NY 11228-3232
Phone (917) 748-0840

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

Hospital & facility affiliations

  • Staten Island University Hospital Univ Hospice Hospice, Staten Island, NY, CCN 331551
  • Clove Lakes Health Care And Rehabilitation Center, Nursing home, Staten Island, NY, CCN 335239
  • Hamilton Park Nursing and Rehabilitation Center Nursing home, Brooklyn, NY, CCN 335710

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Optum Medical Care, P.C. Cardiovascular Disease CurrentSince Sep 1, 2022 Accepting new patients
A Atat Progressive Pulmonary & Sleep Medicine PLLC PastSince Jan 1, 1992 Accepting new patients
Clove Lakes Health Care and Rehabilitation Center, Inc. Past Accepting new patients
Mount Kisco Medical Group Cardiovascular Disease Past Accepting new patients
Hamilton Park Multicare Past Accepting new patients

Locations

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

Philadelphia, PA 19195

Interoperability endpoints

  • Direct secure messaging: pkang18553@direct.optum.com
  • Direct secure messaging: pkang130521@nyumc.direct-ci.com

Organizations & group practices 7

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 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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1285659565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283232",
            "telephone_number": "718-836-0600",
            "fax_number": "718-836-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283232",
            "telephone_number": "718-836-0600",
            "fax_number": "718-836-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "PRITPAL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "NY",
            "license": "133612",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "133612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.