Active NPI
Kevin Nan Jiang, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Jackson Heights, NY
National Provider Identifier
1295994572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 269139
- Practice address
- 7206 Northern Blvd FL 2
Jackson Heights, NY 11372-1049 - Phone
- (866) 670-6824
- Fax
- (718) 533-1774
- NPI assigned
- Jun 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 269139 | NY | Primary |
Addresses
Primary practice location
7206 Northern Blvd FL 2
Jackson Heights, NY 11372-1049
Mailing address
56-45 Main Street, 4TH Floor South
New York Hospital Queens
Flushing, NY 11355
Phone (866) 670-6824
Other practice location 1
2825 Jackson Ave Fl 2
Long Island City, NY 11101-2920
Phone (866) 670-6824
Other practice location 2
56-45 Main Street, 4th Floor South
New York Hospital Queens
Flushing, NY 11355
Phone (866) 670-6824
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | kej7002@direct.nyp.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- State University of New York at Stony Brook, School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16303 Horace Harding Expy
Suite 2
Fresh Meadows, NY 11365-1449
Phone (866) 670-6824
Hospital & facility affiliations
- New York-Presbyterian/Queens
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 11 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newyork-Presbyterian-Queens | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
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.
-
- Pediatrics Physician
- Fresh Meadows, NY
- NPI 1003114851
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1952347205
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1952347205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1295994572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56-45 MAIN STREET, 4TH FLOOR SOUTH",
"address_2": "NEW YORK HOSPITAL QUEENS",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "866-670-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7206 NORTHERN BLVD FL 2",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113721049",
"telephone_number": "866-670-6824",
"fax_number": "718-533-1774"
}
],
"practiceLocations": [
{
"address_1": "2825 Jackson Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Long Island City",
"state": "NY",
"postal_code": "111012920",
"country_code": "US",
"telephone_number": "866-670-6824",
"fax_number": "718-533-1774",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "56-45 Main Street, 4th Floor South",
"address_2": "New York Hospital Queens",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "11355",
"country_code": "US",
"telephone_number": "866-670-6824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIANG",
"first_name": "KEVIN",
"middle_name": "NAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-03",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NY",
"license": "269139",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "72-06 Northern Blvd, 2nd Floor",
"city": "Jackson Heights",
"state": "NY",
"country_code": "US",
"postal_code": "11372",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "56-45 Main Street, 4th Floor South",
"address_2": "New York Hospital Queens",
"city": "Flushing",
"state": "NY",
"country_code": "US",
"postal_code": "11355",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kej7002@direct.nyp.org",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Address",
"address_1": "72-06 Northern Blvd, 2nd Floor",
"city": "Jackson Heights",
"state": "NY",
"country_code": "US",
"postal_code": "11372",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.