Active NPI
Robert Suk Kang
- Otolaryngology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A117521
- Practice address
- 200 UCLA Medical PLZ Ste 550
Los Angeles, CA 90095-3012 - Phone
- (310) 206-6688
- NPI assigned
- Aug 31, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A117521 | CA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A117521 | CA | |
| Otolaryngology Physician | 207Y00000X | A117521 | CA | Primary |
Addresses
Primary practice location
200 UCLA Medical PLZ Ste 550
Los Angeles, CA 90095-3012
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0A1175210 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@cityofhope.direct-ci.com | CITY OF HOPE MEDICAL FOUNDATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- Otolaryngology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10833 Le Conte Ave
Los Angeles, CA 90095-3075
200 Medical Plaza
6TH FL
Los Angeles, CA 90095-0001
Phone (310) 794-1110
200 Medical Plaza
Suite 550
Los Angeles, CA 90024-7002
Phone (310) 794-1110
300 Medical Plaza
Suite 3300
Los Angeles, CA 90095-0001
Phone (310) 825-0867
Hospital & facility affiliations
- Ronald Reagan UCLA Medical Center
- City of Hope Helford Clinical Research Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.8 of 100
- Quality
- 78.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.37
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.82 of 100
- Quality
- 86.3
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.99
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 12 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A117521 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Foundation | Otolaryngology | Current | Accepting new patients |
Locations
1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111
6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832
209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111
Interoperability endpoints
- direct@cityofhope.direct-ci.com
- rkang1287145@direct.uclahealth.org
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.
-
- Surgery Physician
- Los Angeles, CA
- NPI 1619935251
-
- Hematology & Oncology Physician
- Duarte, CA
- NPI 1871886366
Otolaryngology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duarte, CA
- NPI 1750358297
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1316059348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UCLA MEDICAL PLZ STE 550",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900953012",
"telephone_number": "310-206-6688"
}
],
"practiceLocations": [
{
"address_1": "1500 Duarte Rd",
"address_purpose": "LOCATION",
"city": "Duarte",
"state": "CA",
"postal_code": "910103012",
"country_code": "US",
"telephone_number": "626-256-4673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANG",
"first_name": "ROBERT",
"middle_name": "SUK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A117521",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "A117521",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A117521",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0A1175210",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@cityofhope.direct-ci.com",
"affiliation": "Y",
"affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
"address_1": "1500 Duarte Rd",
"city": "Duarte",
"state": "CA",
"country_code": "US",
"postal_code": "910103012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.