JEANWAN KANG M.D. NPI 1134242258

NPI Information

  • NPI: 1134242258
  • Provider Name: JEANWAN KANG, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 22 S GREENE ST
    BALTIMORE, MD
    ZIP 21201
  • Phone: (667) 214-1718

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NPI Details

Jeanwan Kang, M.D. is a vascular surgery surgery in Baltimore, MD with 22 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Jeanwan Kang, M.D. NPI is 1134242258. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:2003

The provider's business location address is:

22 S GREENE ST
BALTIMORE, MD
ZIP 21201-544
Phone: (667) 214-1718
Fax: (410) 328-5147

The NPI 1134242258 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.

  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 4/6/2007 and was last updated on 10/26/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery35120023OHIONo
22086S0129XSurgeryVascular SurgeryD92768MARYLANDYes
3208600000XSurgery231438MASSACHUSETTSNo
42086S0129XSurgeryVascular SurgeryLT-3858NEW HAMPSHIRENo
52086S0129XSurgeryVascular Surgery18326NEW HAMPSHIRENo

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: 3/30/2025

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