Individual provider Active NPI

Muhammad Kang, DPM

  • Foot Surgery Podiatrist
  • Commerce Township, MI
National Provider Identifier
1487107249
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
5901002800 Issued in MI
Practice address
2075 E West Maple Rd Ste B207
Commerce Township, MI 48390-3816
Phone
(247) 669-3870
NPI assigned
Jul 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X P03000 NY
Foot Surgery Podiatrist 213ES0131X 5901002800 MI Primary

Addresses

Primary practice location

2075 E West Maple Rd Ste B207
Commerce Township, MI 48390-3816

Mailing address

2075 E West Maple Rd Ste B207
Commerce Township, MI 48390-3816

Other practice location 1

210 Brighton 15th St
Brooklyn, NY 11235-5843
Phone (923) 961-3122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190821003772 MI Practitioner - Podiatry 4284962770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 Corporate Dr
Adrian, MI 49221-9008
Phone (517) 295-3704

14298 E Rd
Montrose, MI 48457-9369
Phone (517) 295-3704

1634 Lake Lansing Rd
Lansing, MI 48912-3709
Phone (517) 507-3298

1839 S Almont Ave
Imlay City, MI 48444-9759
Phone (517) 295-3704

5364 Green Meadow Rd
Kalamazoo, MI 49009-1266
Phone (269) 353-0416

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue22
Removal of skin lesions47
Removal of nail tissue2266
Removal or shaving of skin growth1717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002800MIMDFoot Surgery Podiatrist
P03000NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
4Kas LLC Foot Surgery CurrentSince Dec 1, 2022 Accepting new patients

Locations

1634 Lake Lansing Rd
Lansing, MI 48912
Phone (360) 857-0867

205 Washington St
Mount Clemens, MI 48043

Interoperability endpoints

  • Direct secure messaging: mkang@4l-mi.direct.office.nextgen.com
  • Direct secure messaging: muhammad.kang@3980.securemail.prognocis.com
  • Direct secure messaging: muhammad.kang.p1@direct.ichd.nextgenshare.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1487107249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 E WEST MAPLE RD STE B207",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 E WEST MAPLE RD STE B207",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903816",
            "telephone_number": "247-669-3870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Brighton 15th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112355843",
            "country_code": "US",
            "telephone_number": "923-961-3122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "MUHAMMAD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "P03000",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MI",
            "license": "5901002800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

Verify at the official NPI Registry.