KENNETH PANG (M.D.) – Anesthesiology Physician, NPI 1073561023

KENNETH PANG (M.D.) is a healthcare provider. based in Naperville, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 036085746 (IL). The NPI Number for KENNETH PANG (M.D.) is 1073561023

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH PANG (M.D.)
NPI
1073561023
Phone
(630) 355-0450
Address
801 S Washington St
Enumeration Date
4 May 2006
Last Update Date
6 December 2021

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
7739672000
Graduation Year
1990 (36 years ago)
PAC ID
2567435647
Group Practice PAC ID
0547165524
Professional Enrollment ID
I20040817000578
Address ID
IL606173909CH2320XSTXX400

Contacts

Secure Messaging
kpang276334@direct.myadvocateaurora.org
FHIR Endpoint
https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,631 ANESTHESIOLOGY in IL

Provider Addresses for KENNETH PANG (M.D.)

  • 801 S Washington St

    Naperville, IL 605407430

    Phone: (630) 355-0450

    Type: Location

  • 387, Shuman Boulevard, Naperville, DuPage County, Illinois, 60563, United States

    SUITE 240W

    NAPERVILLE, IL 605638450

    Phone: (630) 355-0450

    Type: Mailing

  • Edward Hospital, 801, South Washington Street, Naperville, DuPage County, Illinois, 60540, United States

    NAPERVILLE, IL 605407430

    Phone: (630) 355-0450

    Type: Location

  • 17800 KEDZIE AVE

    HAZEL CREST, IL 604292029

    Phone: (708) 799-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-03-27 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$14
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: 2004-08-17

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
I20040817000578IAnesthesiologyILTBD

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
76942Ultrasonic guidance for needle placement4343$0
00812Anesthesia for exam of colon using an endoscope4343$0
64450Injection of anesthetic agent and/or steroid into other nerve or branch4021$0
00811Anesthesia for other procedure on large bowel using an endoscope3333$0
00813Anesthesia for procedure on small and large bowel using an endoscope3131$0
View full utilization report →

Insurance plans in this area (ZIP 60540)

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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: 0547165524View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Interventional Pain Management, Pain Management, AnesthesiologyIL
-IL
Anesthesiology, Interventional Pain ManagementIL
A N E S T H E S I O L O G YAR
-IL
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

What number should I use to identify KENNETH PANG (M.D.) for billing?
Administrative and clinical systems typically use NPI 1073561023 for KENNETH PANG (M.D.).
Does the public listing show KENNETH PANG (M.D.) as active?
KENNETH PANG (M.D.)'s NPI record reflects an active status in NPPES.
What services align with KENNETH PANG (M.D.)'s listing?
KENNETH PANG (M.D.)'s public classification highlights Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is KENNETH PANG (M.D.) tied to Naperville, Illinois?
If you are local to Naperville, Illinois, KENNETH PANG (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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