Active NPI
Vincent Wonsun Kang, D.O.
- Pulmonary Disease Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 34.013276
- Practice address
- 1520 S Main St Ste 2
Dayton, OH 45409-2643 - Phone
- (937) 461-5815
- Fax
- (937) 461-2896
- NPI assigned
- May 20, 2014
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34.013276 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pulmonary Disease Physician | 207RP1001X | 34.013276 | OH | Primary |
Addresses
Primary practice location
1520 S Main St Ste 2
Dayton, OH 45409-2643
Mailing address
1520 S Main St Ste 2
Dayton, OH 45409-2643
Phone (937) 461-5815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190321000513 | OH | Practitioner - Internal Medicine | 5991001927 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pulmonary and Critical Care Consultants, Inc
Practice addresses (Care Compare)
1520 S Main St
Suite 2
Dayton, OH 45409-2643
Phone (937) 461-5815
Hospital & facility affiliations
- Miami Valley Hospital
- Upper Valley Medical Center
- Springfield Regional Medical Center
- Wayne Hospital
- Atrium Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Internal Medicine | Current | Accepting new patients |
| Pulmonary & Critical Care Consultants, Inc | Pulmonary Disease | Current | Accepting new patients |
| Ohiohealth Corporation | Current | Accepting new patients |
Locations
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
3595 Olentangy River Rd
Columbus, OH 43214
Phone (614) 556-5456
1520 S Main St
Ste 2
Dayton, OH 45409
Phone (937) 461-5815
2300 Miami Valley Dr
Ste 370
Dayton, OH 45459
Phone (937) 461-5815
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Dayton, OH
- NPI 1861432379
OH, Pulmonary Disease
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
Hospital & facility affiliations 6
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": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1922410364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 S MAIN ST STE 2",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092643",
"telephone_number": "937-461-5815",
"fax_number": "937-461-2896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 S MAIN ST STE 2",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092643",
"telephone_number": "937-461-5815",
"fax_number": "937-461-2896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "VINCENT",
"middle_name": "WONSUN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-20",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34.013276",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "34.013276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.