Individual provider Active NPI

Peter M. Kang, M.D.

  • Cardiovascular Disease Physician
  • Boston, MA
National Provider Identifier
1568401560
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
80849 Issued in MA
Practice address
3 Blackfan Cir
CLS 910
Boston, MA 02115-5400
Phone
(617) 735-4290
Fax
(617) 735-4207
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 80849 MA Primary

Addresses

Primary practice location

3 Blackfan Cir
CLS 910
Boston, MA 02115-5400

Mailing address

17 Scott Rd
Lexington, MA 02421-8117
Phone (617) 735-4290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050721000493 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6507893534 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
George Washington University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lawrence General HospitalGroup PAC ID 5092725200, 124 clinicians
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians
Community Medical Associates, Inc.Group PAC ID 6002946928, 155 clinicians

Practice addresses (Care Compare)

1 Deaconess Rd
Boston, MA 02215-5321
Phone (781) 983-9088

1 General St
Lawrence, MA 01841-2961
Phone 97868340002979

1000 Broadway
Chelsea, MA 02150-2247
Phone (781) 983-9088

200 Boylston St
Chestnut Hill, MA 02467-2012
Phone (781) 983-9088

27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000

330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612

482 Bedford St
Lexington, MA 02420-1402
Phone (781) 983-9088

70 E St
Methuen, MA 01844-4597
Phone (978) 687-0151

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80849MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Hospital Inc Current Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince May 23, 2008 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Feb 8, 1999 Accepting new patients
General Primary Care of Lawrence CurrentSince Jan 30, 2026 Accepting new patients
Physicians of Cape Cod Hospital Cardiovascular Disease CurrentSince May 1, 2021 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jan 2, 2026 Accepting new patients
Physicians of Falmouth Hospital CurrentSince Jan 2, 2026 Accepting new patients
Winchester Physician Associates, Inc CurrentSince Nov 16, 2019 Accepting new patients
Lawrence General Hospital CurrentSince Jan 30, 2026 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Feb 8, 1999 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince May 23, 2008 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jan 2, 2026 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

330 Brookline Ave
#453
Boston, MA 02215
Phone (617) 667-2737

330 Brookline Ave
#72
Boston, MA 02215

3 Blackfan Cir
#910
Boston, MA 02115
Phone (617) 735-4290

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

90 Ter Heun Dr
#302
Falmouth, MA 02540
Phone (508) 495-7160

90 Ter Heun Dr
Ste 300
Falmouth, MA 02540
Phone (508) 540-0604

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

482 Bedford St
Lexington, MA 02420
Phone (781) 528-2440

70 East St
Methuen, MA 01844
Phone (978) 682-1906

1 University Ave
Westwood, MA 02090
Phone (617) 754-1021

41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000

23 Warren Ave
Ste 100
Woburn, MA 01801
Phone (781) 933-1198

Interoperability endpoints

  • Direct secure messaging: pkang42957@direct.capecodhealthcare.masshiway.net
  • Direct secure messaging: pkang94315@direct.bilh.masshiway.net

Organizations & group practices 15

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.

View all 15

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1568401560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SCOTT RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024218117",
            "telephone_number": "617-735-4290",
            "fax_number": "617-735-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BLACKFAN CIR",
            "address_2": "CLS 910",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155400",
            "telephone_number": "617-735-4290",
            "fax_number": "617-735-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "PETER",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "80849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.