DR. LI SHENG KONG (M.D.) – Vascular Surgery Physician, NPI 1891764775

DR. LI SHENG KONG (M.D.) is a healthcare provider. based in Ventura, California. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 0101238893 (VA). The NPI Number for DR. LI SHENG KONG (M.D.) is 1891764775

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. LI SHENG KONG (M.D.)
NPI
1891764775
Phone
(805) 663-3330
Address
100 N BRENT ST
Enumeration Date
14 March 2006
Last Update Date
20 November 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
8056433330
Graduation Year
1997 (29 years ago)
PAC ID
0244252773
Group Practice PAC ID
6709256696
Professional Enrollment ID
I20070828000889
Address ID
CA930360605OX2000XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

675 VASCULAR SURGERY in CA

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Provider Addresses for DR. LI SHENG KONG (M.D.)

  • 100, North Brent Street, Ventura, Ventura County, California, 93003, United States

    SUITE 201

    VENTURA, CA 930032822

    Phone: (805) 663-3330

    Fax: (805) 663-3331

    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 85 Open Payments records for all available years, with a total value of $3,963.

Total Amount is formed as General ($3,963) + Research ($0) + Ownership ($0) = $3,963.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Philips Electronics North America Corporation ($984).

Total Amount

$3,963

General + Research + Ownership

Payments

85

Total payment records

General Amount

$3,963

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2007-08-28

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
I20070828000889IVascular SurgeryCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes926519$0
93922Ultrasound study of arm and leg arteries411314$0
93925Ultrasound of leg arteries or artery grafts367291$0
99214Established patient office or other outpatient visit, 30-39 minutes364248$0
93970Ultrasound study of arm or leg veins with compression and maneuvers308281$0
View full utilization report →

Insurance plans in this area (ZIP 93003)

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Provider's Procedures

DR. LI SHENG KONG (M.D.) performs procedures in VASCULAR SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
VASCULAR SURGERYCA85610Blood test, clotting time3520
VASCULAR SURGERYCA93922Ultrasound study of arteries of both arms and legs336202
VASCULAR SURGERYCA93926Ultrasound study of arteries and arterial grafts of one leg or limited10666
VASCULAR SURGERYCA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers6547

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: 6709256696View full group profile
NameSpecialtyState
Vascular SurgeryCA
Vascular SurgeryCA
Nurse PractitionerCA
Physician AssistantCA

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Frequently asked questions

What NPI should I save for DR. LI SHENG KONG (M.D.)?
Save NPI 1891764775 if you need a stable reference for DR. LI SHENG KONG (M.D.).
Is DR. LI SHENG KONG (M.D.) currently active in the NPI registry?
CMS-published data lists DR. LI SHENG KONG (M.D.) as an active registrant.
Does DR. LI SHENG KONG (M.D.) list a primary specialty?
If you are matching referrals, note Vascular Surgery Physician for DR. LI SHENG KONG (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. LI SHENG KONG (M.D.)?
The page summarizes Ventura, California for DR. LI SHENG KONG (M.D.); expand the address list for detail.
What if Ventura, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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