Kibbum Kang, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024174551 Issued in VA

Practice address

8640 Sudley Rd Ste 201
Manassas, VA 20110-4404

Phone

(703) 368-6819

Fax

(703) 330-2923

NPI assigned

Mar 20, 2013

Last updated

Feb 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gastroenterology Associates VA, LLCGroup PAC ID 2466449228, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144
• Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045
• Fauquier Hospital Hospital, Warrenton, VA, CCN 490023
• Uva Health Culpeper Medical Center Hospital, Culpeper, VA, CCN 490019

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Gastroenterology Associates VA, LLC

  dba Colon Stomach & Liver Center

  • Gastroenterology Physician
  • Gainesville, VA
  • NPI 1518990472
  Medicare reassignment Care Compare group NPD

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

• Fauquier Medical Center LLC

  dba Fauquier Health

  • General Acute Care Hospital
  • Warrenton, VA
  • NPI 1912334517
  Care Compare affiliation
• Uva Culpeper Medical Center

  dba UVA Health Culpeper Medical Center

  • General Acute Care Hospital
  • Culpeper, VA
  • NPI 1669538047
  Care Compare affiliation
• Uva Prince William Medical Center

  dba UVA Health Haymarket Medical Center

  • General Acute Care Hospital
  • Haymarket, VA
  • NPI 1124369137
  Care Compare affiliation
• Uva Prince William Medical Center

  dba UVA Health Prince William Medical Center

  • General Acute Care Hospital
  • Manassas, VA
  • NPI 1417005760
  Care Compare affiliation

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1548502347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381468",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 SUDLEY RD STE 201",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104404",
            "telephone_number": "703-368-6819",
            "fax_number": "703-330-2923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 W Shirley Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "VA",
            "postal_code": "201863083",
            "country_code": "US",
            "telephone_number": "540-347-2470",
            "fax_number": "540-349-4683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7915 Lake Manassas Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "201553260",
            "country_code": "US",
            "telephone_number": "571-248-0653",
            "fax_number": "571-248-0658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "KIBBUM",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024174551",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024174551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548502347",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kands Healthcare Services LLC
• Amy Catherine Kang, M.D.
• Byong Kuk Kang, M.D.
• Eun-Hee Sarah Kang, D.O
• Hannah Sora Kang, PA
• Tony D Kang, MD
• William Kang
• Elizabeth B Kanianthra, PAC
• Elizabeth Kate Karamanis
• Saad Karamat, MD

• Adult Health Nurse Practitioner in Manassas, VA
• Providers in Manassas, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.

Verify at the official NPI Registry.