Active NPI
Barry Kyu Sik Goldenson Kang, MD
- Emergency Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2022-00762
- Practice address
- 501 S Sharon Amity Rd Ste 300
Charlotte, NC 28211-0035 - Phone
- (704) 377-2424
- Fax
- (704) 377-2687
- NPI assigned
- Apr 7, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2022-00762 | NC | Primary |
| Emergency Medicine Physician | 207P00000X | 55640 | TN |
Addresses
Primary practice location
501 S Sharon Amity Rd Ste 300
Charlotte, NC 28211-0035
Mailing address
501 S Sharon Amity Rd Ste 300
Charlotte, NC 28211-0035
Phone (704) 377-2424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Emergency Medicine
- Education
- Vanderbilt University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 377-2424
Hospital & facility affiliations
- Novant Health Ballantyne Medical Center
- Novant Health Huntersville Medical Center
- Novant Health Matthews Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.97 of 100
- Quality
- 79.68
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Atlantic Emergency Medical Associates, PLLC | Emergency Medicine | Current | Accepting new patients |
| Mema SC LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Mecklenburg County, PLLC | Emergency Medicine | Current | Accepting new patients |
| Hospital Based Medical Services of Tennessee-I PC | Emergency Medicine | Past | Accepting new patients |
Locations
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000
501 S Sharon Amity Rd
Ste 300
Charlotte, NC 28211
Phone (704) 319-5821
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1073562757
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1912232182
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1407675176
-
- Emergency Medicine Physician
- Mt Juliet, TN
- NPI 1225518285
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1740998020
-
- General Acute Care Hospital
- Matthews, NC
- NPI 1063463156
-
- General Acute Care Hospital
- Huntersville, NC
- NPI 1346291309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1366860397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S SHARON AMITY RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282110035",
"telephone_number": "704-377-2424",
"fax_number": "704-377-2687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S SHARON AMITY RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282110035",
"telephone_number": "704-377-2424",
"fax_number": "704-377-2687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "BARRY",
"middle_name": "KYU SIK GOLDENSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-07",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2022-00762",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "55640",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.