Individual provider Active NPI

Mimi Y Kang, MD

  • Obstetrics & Gynecology Physician
  • Mount Kisco, NY
National Provider Identifier
1437210812
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1972951 Issued in NY
Practice address
105 S Bedford Rd
Suite 305
Mount Kisco, NY 10549-3441
Phone
(914) 241-4900
Fax
(914) 241-4976
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1972951 NY Primary

Addresses

Primary practice location

105 S Bedford Rd
Suite 305
Mount Kisco, NY 10549-3441

Mailing address

105 S Bedford Rd
Suite 305
Mount Kisco, NY 10549-3441
Phone (914) 241-4900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060125000650 NY Practitioner - Obstetrics/Gynecology 8022032382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pittsburgh School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Health Medical PCGroup PAC ID 7315221751, 87 clinicians

Practice addresses (Care Compare)

60 Goldens Bridge Rd
Katonah, NY 10536-3447
Phone (914) 241-9026

Hospital & facility affiliations

  • Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162
  • Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261
  • Hudson Valley Hospital Center Hospital, Cortlandt Manor, NY, CCN 330267
  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1972951NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Health Medical, P.C. CurrentSince Mar 1, 2017 Accepting new patients
Westchester Health Medical, P.C. Obstetrics & Gynecology CurrentSince Mar 1, 2017 Accepting new patients

Locations

60 Goldens Bridge Rd
Katonah, NY 10536
Phone (914) 232-1919

36 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-4900

91 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-1717

105 S Bedford Rd
Ste 305
Mount Kisco, NY 10549
Phone (914) 241-4900

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: mkang65799@northwell.direct-ci.com
  • Direct secure messaging: mimi.kang@direct.westchesterhealth.nextgenshare.com

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1437210812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S BEDFORD RD",
            "address_2": "SUITE 305",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493441",
            "telephone_number": "914-241-4900",
            "fax_number": "914-241-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S BEDFORD RD",
            "address_2": "SUITE 305",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493441",
            "telephone_number": "914-241-4900",
            "fax_number": "914-241-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "MIMI",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "1972951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.