Individual provider Active NPI

Kai B Kang, M.D.

  • Cornea and External Diseases Specialist Physician
  • Wheaton, IL
National Provider Identifier
1871835603
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
036.142540 Issued in IL
Practice address
2015 N Main St
Wheaton, IL 60187-3190
Phone
(630) 668-8250
Fax
(630) 668-9561
NPI assigned
Mar 19, 2013
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036.142540 IL
Cornea and External Diseases Specialist Physician 207WX0120X 036.142540 IL Primary

Addresses

Primary practice location

2015 N Main St
Wheaton, IL 60187-3190

Mailing address

2015 N Main St
Wheaton, IL 60187-3152
Phone (630) 668-8250

Other practice location 1

980 S Il Route 59
Bartlett, IL 60103-1668
Phone (630) 668-8250

Other identifiers 2

IdentifierTypeStateIssuer
FK6710784OtherILMEDICARE
036142540MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20170818002509 IL Practitioner - Ophthalmology 3870803505 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JS Weill Medical College, Cornell University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheaton Eye Clinic LTDGroup PAC ID 2860475944, 44 clinicians

Practice addresses (Care Compare)

2015 N Main St
Wheaton, IL 60187-3152
Phone (630) 668-8250

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery219

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.142540ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Jul 7, 2017 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Ophthalmology Associates LTD Ophthalmology CurrentSince Jan 17, 2022 Accepting new patients
Wheaton Eye Clinic LTD Ophthalmology CurrentSince Jan 16, 2021 Accepting new patients
The Board of Trustees of the University of Illinois Ophthalmology CurrentSince Jul 7, 2017 Accepting new patients
Wheaton Eye Clinic LTD Ophthalmology CurrentSince Jan 16, 2021 Accepting new patients
Wheaton Eye Clinic LTD Ophthalmology Past Accepting new patients

Locations

980 S Il Route 59
Bartlett, IL 60103
Phone (630) 668-8250

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

1855 W Taylor St
#648
Chicago, IL 60612
Phone (312) 996-6582

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

1670 Capital St
Elgin, IL 60124

1670 Capital St
Ste 100
Elgin, IL 60124
Phone (847) 888-2020

610 S Randall Rd
St Charles, IL 60174
Phone (630) 668-8250

2015 N Main St
Wheaton, IL 60187
Phone (630) 665-3690

Interoperability endpoints

  • Direct secure messaging: kkang17158@uihealth.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1871835603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 N MAIN ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873152",
            "telephone_number": "630-668-8250",
            "fax_number": "630-668-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 N MAIN ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873190",
            "telephone_number": "630-668-8250",
            "fax_number": "630-668-9561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "980 S Il Route 59",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "IL",
            "postal_code": "601031668",
            "country_code": "US",
            "telephone_number": "630-668-8250",
            "fax_number": "630-668-8916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "KAI",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-19",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.142540",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "IL",
            "license": "036.142540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "FK6710784",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036142540",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.