Individual provider Active NPI

Kun Huang, MD. PH.D.

  • Internal Medicine Physician
  • Albany, CA
National Provider Identifier
1497744189
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A66759 Issued in CA
Practice address
400 Evelyn Ave.
Ste 107
Albany, CA 94706-1350
Phone
(510) 524-4040
Fax
(510) 524-4140
NPI assigned
Oct 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A66759 CA Primary

Addresses

Primary practice location

400 Evelyn Ave.
Ste 107
Albany, CA 94706-1350

Mailing address

400 Evelyn Ave.
Ste 107
Albany, CA 94706-1350
Phone (510) 524-4040

Other identifiers 1

IdentifierTypeStateIssuer
00A667590MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040218001028 CA Practitioner - Internal Medicine 7719872654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800

Hospital & facility affiliations

  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Highland Hospital Hospital, Oakland, CA, CCN 050320

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Feb 28, 2026 Accepting new patients
Alameda Health System CurrentSince Feb 28, 2026 Accepting new patients

Locations

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

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.

Hospital & facility affiliations 4

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1497744189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EVELYN AVE.",
            "address_2": "STE 107",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061350",
            "telephone_number": "510-524-4040",
            "fax_number": "510-524-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EVELYN AVE.",
            "address_2": "STE 107",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061350",
            "telephone_number": "510-524-4040",
            "fax_number": "510-524-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "KUN",
        "credential": "MD. PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A667590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, CA

Sources for this page

Verify at the official NPI Registry.