Organization Active NPI

4Kas LLC

  • Foot Surgery Podiatrist
  • Lansing, MI
National Provider Identifier
1306543889
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
4KAS LLC
Practice address
1428 Kenilworth Dr
Lansing, MI 48917-2048
Phone
(517) 803-0812
NPI assigned
Feb 14, 2023
Last updated
Feb 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Muhammad Kang, DPMNPI 1487107249
Title
Authorized Official
Phone
(517) 803-0812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X Primary

Addresses

Primary practice location

1428 Kenilworth Dr
Lansing, MI 48917-2048

Mailing address

1428 Kenilworth Dr
Lansing, MI 48917-2048
Phone (517) 803-0812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230319000081 MI Part B Supplier - Clinic/Group Practice 6800260639 Receives reassigned benefits from 1 practitioner
Practice locations: Williamston, MI; Standish, MI; East Lansing, MI; Shepherd, MI; Saint Johns, MI; Portland, MI; Okemos, MI; Montrose, MI…

National Provider Directory

National Provider Directory

Locations

14298 East Rd
Montrose, MI 48457

205 Washington St
Mount Clemens, MI 48043

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1306543889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 KENILWORTH DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172048",
            "telephone_number": "517-803-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 KENILWORTH DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172048",
            "telephone_number": "517-803-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4KAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "517-803-0812",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.