DR. EUN-HEE SARAH KANG (D.O) – Family Medicine Physician, NPI 1205165297

DR. EUN-HEE SARAH KANG (D.O) is a healthcare provider. based in Manassas, Virginia. specializing in FAMILY PRACTICE, OSTEOPATHIC MANIPULATIVE MEDICINE, HOSPITALIST, FAMILY PRACTICE. They hold the professional credentials D.O. They hold a License No. OT012193 (PA). The NPI Number for DR. EUN-HEE SARAH KANG (D.O) is 1205165297

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. EUN-HEE SARAH KANG (D.O)
NPI
1205165297
Phone
(703) 396-5292
Address
8700 Sudley Rd
Enumeration Date
22 December 2009
Last Update Date
11 March 2026

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7032374800
Graduation Year
2007 (19 years ago)
PAC ID
4688868839
Group Practice PAC ID
3779495858
Professional Enrollment ID
I20140131001359
Address ID
VA220333952FA12255PKWY400
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness95
Years active:16State licenses:2Other names

3,174 FAMILY PRACTICE in VA

Provider Addresses for DR. EUN-HEE SARAH KANG (D.O)

  • 8700 Sudley Rd

    Manassas, VA 201104418

    Phone: (703) 396-5292

    Fax: (703) 396-5297

    Type: Location

  • 5730 EXECUTIVE DR STE 230

    CATONSVILLE, MD 212281762

    Phone: (301) 272-9830

    Fax: (301) 272-9840

    Type: Mailing

  • 7051 ROCKLEDGE DR

    BETHESDA, MD 208171680

    Phone: (301) 272-9830

    Fax: (301) 272-9840

    Type: Location

  • 1343 BELASCO VALLEY CIR

    GREAT FALLS, VA 220662243

    Phone:

    Type: Mailing

  • Prince William Medical Center, 8700, Sudley Road, Country Place, Manassas, Manassas (city), Virginia, 20110, United States

    MANASSAS, VA 201104418

    Phone: (703) 396-5292

    Fax: (703) 396-5297

    Type: Location

  • PO BOX 60447

    CHARLOTTE, NC 282600447

    Phone: (703) 396-5292

    Type: Mailing

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: 2025-12-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (986 days ago).

Enrollment records

4

Earliest due date

2023-09-30

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
I20140131001359IFamily PracticeDCTBD
I20140909002045IHospitalistVA2023-09-30
I20220601000109IFamily PracticeGATBD
I20251223003339IFamily PracticeMDTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20110)

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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: 3779495858View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. EUN-HEE SARAH KANG (D.O)?
For DR. EUN-HEE SARAH KANG (D.O), use NPI 1205165297 as the unique 10-digit identifier.
Is DR. EUN-HEE SARAH KANG (D.O) still an active registrant?
DR. EUN-HEE SARAH KANG (D.O) carries an active NPI according to the public dataset.
What area of care is associated with DR. EUN-HEE SARAH KANG (D.O)?
DR. EUN-HEE SARAH KANG (D.O)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. EUN-HEE SARAH KANG (D.O) located near Manassas?
DR. EUN-HEE SARAH KANG (D.O) currently maps to Manassas, Virginia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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