Provider Type Icon

DR. IK-KYUNG JANG MD PHD NPI 1811988454


NPI Information

NPI: 1811988454
Provider Name: DR. IK-KYUNG JANG, MD PHD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
55 FRUIT ST
GRB 843
BOSTON, MA
ZIP 02114
Phone: (617) 726-9226
Get Directions

DR. Ik-kyung Jang, MD PHD is a cardiovascular disease internal medicine in Boston, MA with 44 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Ik-kyung Jang, MD PHD NPI is 1811988454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 FRUIT ST
GRB 843
BOSTON, MA
ZIP 02114-696
Phone: (617) 726-9226
Fax: (617) 726-7419

The NPI 1811988454 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Insertion of catheter for diagnostic evaluation of right heart structures (HCPCS:93451)

The enumeration date for this NPI number is 11/2/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease74943MASSACHUSETTSYes
2207RI0011XInternal MedicineInterventional Cardiology74943MASSACHUSETTSX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F45525MEDICARE UPIN
2J13278MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
3074943OTHERMASSACHUSETTSTUFTS HEALTH PLAN
43101738MEDICAIDMASSACHUSETTS
5J13278OTHERMASSACHUSETTSBCBS MA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.