Individual provider Active NPI

Byong Kuk Kang, M.D.

  • Family Medicine Physician
  • Manassas, VA
National Provider Identifier
1295808137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101227170 Issued in VA
Practice address
8703 Stonewall Rd
2-B
Manassas, VA 20110-8325
Phone
(703) 361-1955
Fax
(703) 361-3277
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101227170 VA Primary

Addresses

Primary practice location

8703 Stonewall Rd
2-B
Manassas, VA 20110-8325

Mailing address

8703 Stonewall Rd
2-B
Manassas, VA 20110-8325
Phone (703) 361-1955

Other names 1

  • Dr. Daniel Kang Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050104000766 VA Practitioner - Family Practice 4789632068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8703 Stonewall Rd
Suite 2B
Manassas, VA 20110-4534
Phone (703) 361-1955

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101227170VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Cruz Medical Clinic Family Medicine CurrentSince Mar 4, 2003 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8703 Stonewall Rd
Ste 2B
Manassas, VA 20110
Phone (703) 361-1955

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295808137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 STONEWALL RD",
            "address_2": "2-B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108325",
            "telephone_number": "703-361-1955",
            "fax_number": "703-361-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 STONEWALL RD",
            "address_2": "2-B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108325",
            "telephone_number": "703-361-1955",
            "fax_number": "703-361-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "BYONG",
        "middle_name": "KUK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101227170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "KANG",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.