Individual provider Active NPI

Karng S Log, DO

  • Hematology & Oncology Physician
  • Littleton, CO
National Provider Identifier
1932310034
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
50124 Issued in CO
Practice address
7780 S Broadway
Suite 380
Littleton, CO 80122-2648
Phone
(303) 734-2090
Fax
(303) 734-2095
NPI assigned
May 24, 2007
Last updated
Oct 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 5101016452 MI
Hematology & Oncology Physician 207RH0003X 50124 CO Primary

Addresses

Primary practice location

7780 S Broadway
Suite 380
Littleton, CO 80122-2648

Mailing address

7780 S Broadway
Suite 380
Littleton, CO 80122-2648
Phone (303) 734-2090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20111121000792 CO Practitioner - Hematology/Oncology 1153486246 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Intermountain Front Range, Inc.Group PAC ID 6800799537, 20 clinicians

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

3210 Lutheran Pkwy
Wheat Ridge, CO 80033-6019
Phone (303) 425-8000

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50124COMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Medical Center, LLC CurrentSince Aug 1, 2017 Accepting new patients
Intermountain Medical Group Denver, LLC Hospice and Palliative Medicine CurrentSince Aug 1, 2017 Accepting new patients
Intermountain Front Range, Inc. Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 1, 2017 Accepting new patients
Cancer Centers of Colorado, LLC Hematology & Oncology CurrentSince Nov 18, 2018 Accepting new patients
Saint Joseph Hospital, Inc Hematology & Oncology Current Accepting new patients
Portercare Adventist Health System CurrentSince Nov 1, 2014 Accepting new patients
Good Samaritan Medical Center, LLC CurrentSince Aug 1, 2017 Accepting new patients
Saint Joseph Hospital, Inc CurrentSince Aug 1, 2017 Accepting new patients
Intermountain Front Range, Inc. CurrentSince Feb 26, 2018 Accepting new patients
Intermountain Front Range, Inc. CurrentSince Feb 26, 2018 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Nov 18, 2018 Accepting new patients
Portercare Adventist Health System CurrentSince Nov 1, 2014 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Nov 18, 2018 Accepting new patients
Cancer Centers of Colorado, LLC Hematology & Oncology PastSince Nov 18, 2025 Accepting new patients
Front Range Radiation Oncology Past Accepting new patients
Intermountain Medical Group Denver, LLC Hematology & Oncology Past Accepting new patients

Locations

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

1601 Lowell Blvd
Ste 150
Denver, CO 80204
Phone (303) 403-6820

1818 N Ogden St
Ste 200
Denver, CO 80218
Phone (303) 318-3434

1825 N Marion St
Denver, CO 80218
Phone (303) 318-3400

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

2777 Mile High Stadium Cir
Ste 100
Denver, CO 80211
Phone (303) 403-6820

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

400 Indiana St
Ste 300
Golden, CO 80401
Phone (303) 403-7333

750 Wellington Ave
Ste 3C
Grand Junction, CO 81501
Phone (970) 243-7908

200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110

340 Exempla Cir
Lafayette, CO 80026
Phone (303) 673-1600

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

7780 S Broadway
Ste 380
Littleton, CO 80122
Phone (303) 734-2090

500 Discovery Pkwy
Ste 100
Superior, CO 80027
Phone (303) 403-7800

3210 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 425-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16660/brand/1/csg/1/fhir/r4

Organizations & group practices 18

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.

View all 18

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1932310034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 S BROADWAY",
            "address_2": "SUITE 380",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222648",
            "telephone_number": "303-734-2090",
            "fax_number": "303-734-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 S BROADWAY",
            "address_2": "SUITE 380",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222648",
            "telephone_number": "303-734-2090",
            "fax_number": "303-734-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOG",
        "first_name": "KARNG",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "5101016452",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CO",
            "license": "50124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.