Active NPI
Jason Lee Kang, M.D.
- Emergency Medicine Physician
- Payson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 32583
- Practice address
- 807 S Ponderosa St
Payson, AZ 85541-5542 - Phone
- (602) 386-9982
- Fax
- (484) 231-9982
- NPI assigned
- Aug 8, 2007
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 32583 | AZ | Primary |
| Internal Medicine Physician | 207R00000X | 32583 | AZ |
Addresses
Primary practice location
807 S Ponderosa St
Payson, AZ 85541-5542
Mailing address
PO Box 15070
Scottsdale, AZ 85267-5070
Phone (480) 421-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16815 W Bell Rd
Surprise, AZ 85374-2101
Phone (615) 665-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32583 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Group of Arizona Professional Corporation | Emergency Medicine | Current | Accepting new patients |
| Texas Emergency Medicine Group, LLP | Emergency Medicine | Current | Accepting new patients |
| Mountain Vista Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Key Medical Solutions LLC | Internal Medicine | Past | Accepting new patients |
| Arizona Post-Acute Medical Services 1 PC | Past | Accepting new patients | |
| Emcare Physician Providers, Inc | Emergency Medicine | Past | Accepting new patients |
Locations
4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
5750 E Baseline Rd
Mesa, AZ 85206
Phone (602) 246-5797
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000
2000 W Bethany Home Rd
#R
Phoenix, AZ 85015
2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000
16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400
1301 Montgomery Rd
Graham, TX 76450
Phone (940) 521-5360
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 and National Provider Directory roles.
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1154860674
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1215275433
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1164642963
-
- Emergency Medicine Physician
- Graham, TX
- NPI 1134774722
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1093254419
-
- Emergency Medicine Physician
- Winslow, AZ
- NPI 1144270315
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1386106045
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1477537363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1932390457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15070",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852675070",
"telephone_number": "480-421-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 S PONDEROSA ST",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855415542",
"telephone_number": "602-386-9982",
"fax_number": "484-231-9982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "JASON",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-08",
"last_updated": "2025-03-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "32583",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "32583",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Payson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.