Active NPI
Kalle Kang, M.D.
- Gastroenterology Physician
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD00024250
- Practice address
- 1135 116TH Ave NE
Suite 560
Bellevue, WA 98004-4623 - Phone
- (425) 454-4768
- Fax
- (425) 462-8021
- NPI assigned
- Jun 12, 2006
- Last updated
- Apr 21, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD-24537 | HI | |
| Gastroenterology Physician | 207RG0100X | 77618 | TN | |
| Gastroenterology Physician | 207RG0100X | MD00024250 | WA | Primary |
Addresses
Primary practice location
1135 116TH Ave NE
Suite 560
Bellevue, WA 98004-4623
Mailing address
1135 116TH Ave NE Ste 560
Bellevue, WA 98004-4631
Other practice location 1
221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056
Other practice location 2
8000 Wolf River Blvd Ste 200
Germantown, TN 38138-1755
Phone (901) 747-3630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1135 116TH Ave NE
Suite 560
Bellevue, WA 98004-4631
Phone (425) 454-4768
746 N College Rd
Twin Falls, ID 83301-3486
775 Pole Line Rd W
Twin Falls, ID 83301-5820
801 Pole Line Rd W
Twin Falls, ID 83301-5810
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 107 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 91 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-24537 | HI | MD | Gastroenterology Physician |
| 77618 | TN | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Gastroenterology PLLC | Gastroenterology | Current | Accepting new patients |
| Washington Gastroenterology PLLC | Current | Accepting new patients | |
| St Luke's Clinic LLC | Current | Accepting new patients | |
| Public Hospital District No 4, King County Wa | Past | Accepting new patients | |
| Pacific Palisades Podiatry PLLC | Past | Accepting new patients | |
| St Luke's Magic Valley Regional Medical Center LTD | Past | Accepting new patients | |
| Public Hospital District No 4 King County Washington | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230
1135 116th Ave NE
Ste 560
Bellevue, WA 98004
Phone (425) 467-0150
1135 116th Ave NE
Ste 570
Bellevue, WA 98004
Phone (425) 451-7335
34503 9th Ave S
Ste 240
Federal Way, WA 98003
Phone (253) 838-9839
2727 Hollycroft St
Ste 480
Gig Harbor, WA 98335
Phone (253) 858-0112
1301 4th Ave NW
Ste 301
Issaquah, WA 98027
Phone (425) 270-6363
1301 4th Ave NW
Unit 303
Issaquah, WA 98027
Phone (425) 270-6363
17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660
11216 Sunrise Blvd E
Ste 3-201
Puyallup, WA 98374
Phone (253) 770-3700
1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933
1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933
1446 Spaulding Ave
Richland, WA 99352
Phone (509) 420-4588
3209 S 23rd St
Ste 200
Tacoma, WA 98405
Phone (253) 503-2508
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Tacoma, WA
- NPI 1306364401
-
dba St Lukes Clinic - Magic Valley/Jerome
- Family Medicine Physician
- Twin Falls, ID
- NPI 1790718229
-
dba Associates In Gastroenterology
- Gastroenterology Physician
- Germantown, TN
- NPI 1417932492
-
dba Washington Gastroenterology Lab
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1467011122
-
- Foot & Ankle Surgery Podiatrist
- Federal Way, WA
- NPI 1669428934
-
dba Snoqualmie Valley Hospital
- Critical Access Hospital
- Snoqualmie, WA
- NPI 1902846546
-
dba Public Hospital District No 4 Clinic
- Family Medicine Physician
- Snoqualmie, WA
- NPI 1144432634
-
dba St Lukes Retail Pharmacy Twin Falls
- Community/Retail Pharmacy
- Twin Falls, ID
- NPI 1760203921
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1598971855
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1861432726
-
dba Swedish/Issaquah
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
-
dba St Lukes Magic Valley - Air Ambulance
- General Acute Care Hospital
- Twin Falls, ID
- NPI 1932154705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1780626630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 116TH AVE NE STE 560",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 116TH AVE NE",
"address_2": "SUITE 560",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044623",
"telephone_number": "425-454-4768",
"fax_number": "425-462-8021"
}
],
"practiceLocations": [
{
"address_1": "221 Mahalani St",
"address_purpose": "LOCATION",
"city": "Wailuku",
"state": "HI",
"postal_code": "967932526",
"country_code": "US",
"telephone_number": "808-244-9056",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8000 Wolf River Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381381755",
"country_code": "US",
"telephone_number": "901-747-3630",
"fax_number": "901-747-4149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANG",
"first_name": "KALLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "HI",
"license": "MD-24537",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TN",
"license": "77618",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "MD00024250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.