SOOBIN KANG – Diagnostic Radiology Physician, NPI 1104203850
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,529 DIAGNOSTIC RADIOLOGY in VA
Provider Addresses for SOOBIN KANG
1250 E. Marshall St.
Box 980509
Richmond, VA 23298
Phone: (804) 828-8786
Fax: (804) 828-5466
Type: Location
72 MULBERRY CT
PARAMUS, NJ 076521361
Phone: (201) 566-8949
Type: Mailing
72 Mulberry Ct
Paramus, NJ 076521361
Phone: (201) 566-8949
Type: Location
20 YORK ST
NEW HAVEN, CT 065103220
Phone: (203) 688-1010
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-04-13
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 |
|---|---|---|---|---|
| I20210413000025 | I | Diagnostic Radiology | NJ | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 9,695 | 65 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 9,350 | 93 | $0 |
| 73721 | Mri scan of leg joint without contrast | 459 | 310 | $0 |
| 73221 | Mri scan of arm joint without contrast | 286 | 207 | $0 |
| 71250 | Ct scan of chest without contrast | 243 | 182 | $0 |
Insurance plans in this area (ZIP 23298)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Interventional Radiology, Diagnostic Radiology | NJ | |
| Interventional Radiology, Diagnostic Radiology | NJ | |
| Diagnostic Radiology | PA | |
| - | NJ | |
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Interventional Radiology | MA |
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