Active NPI
Samuel Kang, PA-C
- Physician Assistant
- East Boston, MA
National Provider Identifier
1982142303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 10 Gove St
East Boston, MA 02128-1920 - Phone
- (617) 569-5800
- NPI assigned
- Feb 6, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
10 Gove St
East Boston, MA 02128-1920
Mailing address
80 Reed Ave Unit B
Everett, MA 02149-3941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170412000474 | MA | Practitioner - Physician Assistant | 2860778545 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Mass General Brigham Medical Group Northern Massachusetts IncMass General Brigham Urgent Care LLC
Practice addresses (Care Compare)
1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950
1285 Beacon St
Brookline, MA 02446-5237
Phone (888) 980-0505
425 Washington St
Woburn, MA 01801-2157
Phone (617) 724-9245
480 Lynnfield St
Lynn, MA 01904-1419
Phone (781) 593-3400
Hospital & facility affiliations
- Boston Medical Center
- North Shore Medical Center -
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med-Ex, LLC | Current | Accepting new patients | |
| Mass General Brigham Urgent Care LLC | Current | Accepting new patients | |
| Mass General Brigham Urgent Care LLC | Current | Accepting new patients | |
| Mass General Brigham Urgent Care LLC | Current | Accepting new patients | |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Current | Accepting new patients |
Locations
100 Powdermill Rd
Ste 8
Acton, MA 01720
Phone (978) 637-2320
1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
Interoperability endpoints
- kang.samuel.puc@direct.partners.masshiway.net
- samuel.kang.1@29271.direct.athenahealth.com
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
MA
-
- Clinical Medical Laboratory
- Haverhill, MA
- NPI 1033066972
-
- Urgent Care Clinic/Center
- Cambridge, MA
- NPI 1609387695
-
- Urgent Care Clinic/Center
- Cambridge, MA
- NPI 1881141398
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Health Clinic/Center
- South Boston, MA
- NPI 1225228679
Hospital
-
- Community Health Clinic/Center
- Roslindale, MA
- NPI 1386718823
Hospital
-
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1780874677
Hospital
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1861683518
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1982142303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 REED AVE UNIT B",
"city": "EVERETT",
"state": "MA",
"postal_code": "021493941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 GOVE ST",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "021281920",
"telephone_number": "617-569-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "SAMUEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-06",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.