TAEUK KANG (PA-C) – Physician Assistant, NPI 1174125595
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for TAEUK KANG (PA-C)
580 S DENTON TAP RD
COPPELL, TX 750194098
Phone: (972) 462-0762
Type: Location
PO BOX 2070
ORANGE GROVE, TX 783722070
Phone: (361) 382-2024
Type: Mailing
408 N Giraud
Cotulla, TX 780143113
Phone: (830) 879-2279
Fax: (830) 879-2235
Type: Location
408 N GIRAUD
COTULLA, TX 780143113
Phone: (830) 879-2279
Fax: (830) 879-2235
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 72 Open Payments records for all available years, with a total value of $1,578.
Total Amount is formed as General ($1,578) + Research ($0) + Ownership ($0) = $1,578.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($298).
Total Amount
$1,578
General + Research + Ownership
Payments
72
Total payment records
General Amount
$1,578
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $298 |
| AstraZeneca Pharmaceuticals LP | $210 |
| Novo Nordisk Inc | $202 |
| GlaxoSmithKline, LLC. | $184 |
| PFIZER INC. | $146 |
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: 2021-11-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211116001375 | I | Physician Assistant | TX | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75019)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Vascular Surgery | PA | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | TX | |
| Family Practice | TX |
Reviews
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