EVERETT K. KANG (M.D.) – Family Medicine Physician, NPI 1750608774

EVERETT K. KANG (M.D.) is a healthcare provider. based in San bernardino, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. A119364 (CA). The NPI Number for EVERETT K. KANG (M.D.) is 1750608774

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
EVERETT K. KANG (M.D.)
NPI
1750608774
Phone
(909) 537-5241
Address
5500 UNIVERSITY PARKWAY
Enumeration Date
29 April 2010
Last Update Date
7 April 2015

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9516832106
Graduation Year
2009 (17 years ago)
PAC ID
8325438757
Group Practice PAC ID
0244383727
Professional Enrollment ID
I20211129002201
Address ID
CA925075348RI4190XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

13,237 FAMILY PRACTICE in CA

Provider Addresses for EVERETT K. KANG (M.D.)

  • 5500 UNIVERSITY PARKWAY

    SAN BERNARDINO, CA 924072397

    Phone: (909) 537-5241

    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 5 Open Payments records for all available years, with a total value of $99.

Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($42).

Total Amount

$99

General + Research + Ownership

Payments

5

Total payment records

General Amount

$99

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2021-11-29

PECOS data refreshed: 2026-06-15

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
I20211129002201IFamily PracticeCATBD

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
99212Established patient office or other outpatient visit, 10-19 minutes4717$0
99213Established patient office or other outpatient visit, 20-29 minutes3316$0
G0442Annual alcohol misuse screening, 5 to 15 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 92407)

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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: 0244383727View full group profile
NameSpecialtyState
Family PracticeCA
Family Practice, Obstetrics/GynecologyCA
Family PracticeCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family PracticeCA

Reviews

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Frequently asked questions

Can I use this page to confirm EVERETT K. KANG (M.D.)'s NPI?
Yes. EVERETT K. KANG (M.D.) is listed with NPI 1750608774 in the public NPI dataset.
Does the file indicate EVERETT K. KANG (M.D.) is practicing under active NPI?
Directory data currently reports EVERETT K. KANG (M.D.) as active.
What is EVERETT K. KANG (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for EVERETT K. KANG (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect EVERETT K. KANG (M.D.) on a map?
Expect San Bernardino, California as a primary anchor for EVERETT K. KANG (M.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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