Active NPI
Minsoo Kang, MD
- Neurology Physician
- Niagara Falls, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 002006
- Practice address
- 4600 Military Rd
Niagara Falls, NY 14305-1338 - Phone
- (716) 297-8709
- NPI assigned
- Jul 7, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD60858392 | WA | |
| Neurology Physician | 2084N0400X | 002006 | NY | Primary |
Addresses
Primary practice location
4600 Military Rd
Niagara Falls, NY 14305-1338
Mailing address
4600 Military Rd
Niagara Falls, NY 14305-1338
Phone (716) 297-8709
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02548516 | Medicaid | NY | |
| 2103758 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, WA, MI
- 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
- Neurology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
192 Park Club LN
Williamsville, NY 14221-5270
2731 Plymouth Rd
Ann Arbor, MI 48105-2427
Phone (734) 255-3185
3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966
5196 Genesee St
Bowmansville, NY 14026-1038
Phone (716) 817-9952
5300 Military Rd
Lewiston, NY 14092-1903
Phone (716) 297-4800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60858392 | WA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group-Renton | Neurology | Current | Accepting new patients |
| Trinity Medical Wny PC | Current | Accepting new patients | |
| Trinity Medical Wny PC | Current | Accepting new patients | |
| Mount St. Mary's Hospital of Niagara Falls | Current | Accepting new patients | |
| Hellomed,PLC | Neurology | Current | Accepting new patients |
| Trinity Medical Wny PC | Current | Accepting new patients | |
| Mount St. Mary's Hospital of Niagara Falls | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Niagara Falls Memorial Medical Center | Past | Accepting new patients |
Locations
2731 Plymouth Rd
Ann Arbor, MI 48105
Phone (734) 255-3185
625 E Liberty St
Ste 10
Ann Arbor, MI 48104
Phone (734) 210-1122
5196 Genesee St
Bowmansville, NY 14026
Phone (716) 206-0005
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966
4600 Military Rd
Niagara Falls, NY 14305
Phone (716) 297-8709
5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800
192 Park Club Ln
Ste 100
Williamsville, NY 14221
Phone (716) 204-0901
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450
3600 Lind Ave SW
Ste 100
Renton, WA 98057
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
Interoperability endpoints
- mkang419679@direct.multicare.org
- https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/
- https://fhir.meditouchehr.com/api/fhir/r4/
- mkang409492@direct.chsbuffalo.org
Organizations & group practices 11
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.
-
dba Mount St. Mary's Hospital and Health Center
- General Acute Care Hospital
- Lewiston, NY
- NPI 1043394745
-
- Internal Medicine Physician
- Buffalo, NY
- NPI 1295043149
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba Mount St. Mary's Professional Services
- General Acute Care Hospital
- Lewiston, NY
- NPI 1184252751
-
- Orthopaedic Surgery Physician
- Williamsville, NY
- NPI 1144878893
-
- Vascular Surgery Physician
- Buffalo, NY
- NPI 1205468055
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Diagnostic Radiology Physician
- Spokane, WA
- NPI 1679042188
-
- Oncology Clinic/Center
- Niagara Falls, NY
- NPI 1144842816
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mount St. Mary's Hospital and Health Center
- General Acute Care Hospital
- Lewiston, NY
- NPI 1043394745
-
- General Acute Care Hospital
- Niagara Falls, NY
- NPI 1285717298
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1780681569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MILITARY RD",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143051338",
"telephone_number": "716-297-8709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 MILITARY RD",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143051338",
"telephone_number": "716-297-8709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "MINSOO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD60858392",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "002006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02548516",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2103758",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.