DR. KAM FUN PANG (MD) – Internal Medicine Physician, NPI 1104020783

DR. KAM FUN PANG (MD) is a healthcare provider. based in Spokane, Washington. specializing in INTERNAL MEDICINE, HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD60079288 (WA). The NPI Number for DR. KAM FUN PANG (MD) is 1104020783

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAM FUN PANG (MD)
NPI
1104020783
Phone
(509) 474-3260
Address
5633 N Lidgerwood St
Enumeration Date
14 June 2007
Last Update Date
17 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
5096842561
Graduation Year
2004 (22 years ago)
PAC ID
0840389334
Group Practice PAC ID
3577623115
Professional Enrollment ID
I20101102001472
Address ID
WA991143316CO982XXAVEX400

Contacts

Secure Messaging
kpang540079@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4,072 INTERNAL MEDICINE in WA

Provider Addresses for DR. KAM FUN PANG (MD)

  • 5633 N Lidgerwood St

    Spokane, WA 99208

    Phone: (509) 474-3260

    Fax: (509) 227-7070

    Type: Location

  • 300 El Camino Real

    Sierra Vista, AZ 856352812

    Phone: (520) 417-4594

    Type: Location

  • 421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States

    LIBERTY LAKE, WA 990190421

    Phone: (509) 474-3260

    Fax: (509) 227-7070

    Type: Mailing

  • Providence Sacred Heart Medical Center and Children's Hospital, 101, West 8th Avenue, Spokane, Spokane County, Washington, 99204, United States

    SPOKANE, WA 992042307

    Phone: (509) 474-3260

    Fax: (509) 227-7070

    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: 2021-04-12

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20101102001472IHospitalistWATBD
I20111116000875IInternal MedicineAZTBD
I20210412000194IInternal MedicineTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes17890$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes177173$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8652$0
99239Hospital discharge day management, more than 30 minutes7771$0
99497Advance care planning, first 30 minutes3332$0
View full utilization report →

Insurance plans in this area (ZIP 99208)

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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: 3577623115View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)WA
Family PracticeWA
Hospitalist, Internal MedicineWA
Internal Medicine, Emergency MedicineCO
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineWA
-WA
Internal MedicineWA
-WA
Certified Registered Nurse Anesthetist (Crna)WA

Reviews

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Frequently asked questions

What NPI should I save for DR. KAM FUN PANG (MD)?
Save NPI 1104020783 if you need a stable reference for DR. KAM FUN PANG (MD).
Is DR. KAM FUN PANG (MD)'s NPI currently valid?
The extract we use shows DR. KAM FUN PANG (MD) as active.
Does DR. KAM FUN PANG (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. KAM FUN PANG (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. KAM FUN PANG (MD)?
The snapshot lists Spokane, Washington for DR. KAM FUN PANG (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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