Active NPI
Timothy Kang
- Medical Physician Assistant
- Greenfield, MA
National Provider Identifier
1629742267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA8334
- Practice address
- 164 High St
Greenfield, MA 01301-2613 - Phone
- (413) 794-2273
- Fax
- (413) 773-2841
- NPI assigned
- Aug 6, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA8334 | MA | Primary |
Addresses
Primary practice location
164 High St
Greenfield, MA 01301-2613
Mailing address
280 Chestnut Street
2ND Floor
Springfield, MA 01199-1001
Phone (413) 794-5700
Other practice location 1
325B King St
Northampton, MA 01060-2370
Phone (413) 794-2273
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
164 High St
Greenfield, MA 01301-2613
Phone (413) 794-2273
280 Chestnut St
Suite 2
Springfield, MA 01199-1001
325 B King St
Northampton, MA 01060-2370
Phone (413) 586-0611
759 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-5439
Hospital & facility affiliations
- Baystate Franklin Medical Center
- Baystate Medical Center
- Berkshire Medical Center
- Cooley Dickinson Hospital Inc,the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA8334 | MA | MD | Medical Physician Assistant |
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 and National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenfield, MA
- NPI 1508867391
-
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Psychiatric Hospital Unit
- Northampton, MA
- NPI 1871512814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1629742267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT STREET",
"address_2": "2ND FLOOR",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991001",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 HIGH ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012613",
"telephone_number": "413-794-2273",
"fax_number": "413-773-2841"
}
],
"practiceLocations": [
{
"address_1": "325B King St",
"address_purpose": "LOCATION",
"city": "Northampton",
"state": "MA",
"postal_code": "010602370",
"country_code": "US",
"telephone_number": "413-794-2273",
"fax_number": "413-387-4136",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANG",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-06",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "PA8334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.