DR. PETER CHULHI KANG (MD) – Surgery Physician, NPI 1740635887
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
827 GENERAL SURGERY in WA
Provider Addresses for DR. PETER CHULHI KANG (MD)
1425 SPRING ST APT 802
SEATTLE, WA 981041635
Phone: (206) 928-2082
Type: Location
1020 High Rd
Bremen, IN 465061093
Phone: (574) 309-9967
Fax: (574) 309-9968
Type: Location
1000 W Carson St # 461
Torrance, CA 905022059
Phone: (424) 306-8070
Fax: (310) 533-1841
Type: Location
Harborview Medical Center, 325, 9th Avenue, Little Saigon, First Hill, Seattle, King County, Washington, 98104, United States
BOX 359908
SEATTLE, WA 981042420
Phone:
Type: Mailing
3245 HEALTH DR STE 100
GRANGER, IN 465301380
Phone: (574) 647-3437
Type: Mailing
500 ARCADE AVE STE 320
ELKHART, IN 465142477
Phone: (574) 523-7900
Fax: (574) 523-7909
Type: Location
1000 W CARSON ST # 461
TORRANCE, CA 905022059
Phone: (424) 306-8070
Fax: (310) 533-1841
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $308.
Total Amount is formed as General ($308) + Research ($0) + Ownership ($0) = $308.
Last reported payment date: 2024-04-12 • Largest payer in this snapshot: Davol Inc. ($308).
Total Amount
$308
General + Research + Ownership
Payments
2
Total payment records
General Amount
$308
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $308 |
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: 2025-08-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190812002961 | I | General Practice | WA | TBD |
| I20250826001237 | I | General Surgery | IN | 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 98104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Qualified Audiologist | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| General Surgery | IN | |
| - | IN |
Reviews
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