Individual provider Active NPI

Yun Ji Kang, NP

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1700509312
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NP1037351 Issued in DC
Practice address
4414 Benning Rd NE
Washington, DC 20019-4555
Phone
(240) 252-0139
NPI assigned
Sep 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NP1037351 DC Primary

Addresses

Primary practice location

4414 Benning Rd NE
Washington, DC 20019-4555

Mailing address

4414 Benning Rd NE
Washington, DC 20019-4555

Other names 1

  • Grace Kang Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230316000266 DC Practitioner - Nurse Practitioner 2860866779 Reassigns benefits to 3 organizations
I20240510000402 MD Practitioner - Nurse Practitioner 2860866779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

11119 Rockville Pike
Suite 101
Rockville, MD 20852-3143
Phone (301) 881-5585

4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP1037351DCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince Apr 3, 2024 Accepting new patients
Unity Health Care Inc. CurrentSince Dec 1, 2022 Accepting new patients
Menocal Medical Services PA Family Medicine Current Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Jan 22, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Jan 22, 2024 Accepting new patients
Unity Health Care, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Privia Care Center LLC CurrentSince Apr 3, 2024 Accepting new patients
Nova Physician Wellness Center PLLC Family Medicine Past Accepting new patients

Locations

4414 Benning Rd NE
Washington, DC 20019
Phone (202) 388-7891

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

1100 New Jersey Ave SE
Ste 500
Washington, DC 20003
Phone (202) 279-1817

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

11119 Rockville Pike
Ste 101
Rockville, MD 20852
Phone (301) 881-5585

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: yun.kang.1@8042.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1700509312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 BENNING RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200194555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 BENNING RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200194555",
            "telephone_number": "240-252-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "YUN JI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "NP1037351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "KANG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.