MINA RIM KANG (MD) – Hospitalist Physician, NPI 1003045600

MINA RIM KANG (MD) is a healthcare provider. based in Santa monica, California. specializing in Hospitalist Physician. They hold the professional credentials MD. They hold a License No. A114952 (CA). The NPI Number for MINA RIM KANG (MD) is 1003045600

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MINA RIM KANG (MD)
NPI
1003045600
Phone
(310) 829-8858
Address
2121 SANTA MONICA BLVD
Enumeration Date
6 July 2009
Last Update Date
15 April 2021

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
3108295511
Graduation Year
2005 (21 years ago)
PAC ID
3577601004
Group Practice PAC ID
0840548624
Professional Enrollment ID
I20110225000394

Contacts

Secure Messaging
mkang473451@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MINA RIM KANG (MD)

  • Providence Saint John's Health Center, 2121, Santa Monica Boulevard, Santa Monica, Los Angeles County, California, 90404, United States

    PROVIDENCE ST. JOHN'S HEALTH CENTER

    SANTA MONICA, CA 904042303

    Phone: (310) 829-8858

    Fax: (424) 212-5921

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $373.

Total Amount is formed as General ($373) + Research ($0) + Ownership ($0) = $373.

Last reported payment date: 2023-10-17 • Largest payer in this snapshot: UCB, Inc. ($232).

Total Amount

$373

General + Research + Ownership

Payments

4

Total payment records

General Amount

$373

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110225000394IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4934$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3024$0
99239Hospital discharge day management, more than 30 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 90404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840548624View full group profile
NameSpecialtyState
Emergency MedicineCA
Internal MedicineCA
Nurse PractitionerCA
Family PracticeCA
Emergency MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Physician AssistantTX
-CA
-CA
N E U R O S U R G E R YCA

Reviews

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Frequently asked questions

What number should I use to identify MINA RIM KANG (MD) for billing?
Administrative and clinical systems typically use NPI 1003045600 for MINA RIM KANG (MD).
Quick check: is MINA RIM KANG (MD) active?
Public NPPES data shows MINA RIM KANG (MD) with an active NPI status right now.
What type of care does MINA RIM KANG (MD) provide?
MINA RIM KANG (MD)'s profile centers on Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MINA RIM KANG (MD) in Santa Monica, California?
For routing, start with Santa Monica, California for MINA RIM KANG (MD), then verify phone and hours locally.
Who maintains MINA RIM KANG (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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