David Ming Fung Kao, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

23409 Issued in OR

Practice address

6370 SW Borland Rd Ste 200
Tualatin, OR 97062-9752

Phone

(503) 691-1122

Fax

(503) 691-1144

NPI assigned

Jul 15, 2005

Reactivated

Mar 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skin Cancer Surgery Center

  • Preferred Provider Organization
  • Tualatin, OR
  • NPI 1699943126
  Medicare reassignment NPD
• Skin Cancer Surgery Center LLC

  • Clinic/Center
  • Tualatin, OR
  • NPI 1912218223
  NPD Authorized official
• DK Pathology

  • Clinical Medical Laboratory
  • Tualatin, OR
  • NPI 1366710782
  NPD

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1417956020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6370 SW BORLAND RD STE 200",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629752",
            "telephone_number": "503-691-1122",
            "fax_number": "503-691-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6370 SW BORLAND RD STE 200",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629752",
            "telephone_number": "503-691-1122",
            "fax_number": "503-691-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAO",
        "first_name": "DAVID",
        "middle_name": "MING FUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "23409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287107",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessie Aisha Kaleikau, MA
• Candice H Kam, MD
• Matthew Lewis Kamery
• Paul Stephen Kane, PT
• Ben Bum-Joon Kang, DMD
• Amy Beth Kaplan, LCSW
• Karleen Swarztrauber LLC
• Mark J Kaseweter, LPTA
• Caden Katada
• Robin Sean Kates, MD

• Specialist in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.