VICTOR KANG
NPI 1699193573
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

NPI Status: Active since March 28, 2014

Contact Information

1402 S GRAND BLVD # M260
SAINT LOUIS, MO
ZIP 63104
Phone: (314) 977-9853
Fax: (314) 977-9852

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  • Individual
  • Male
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About VICTOR KANG

This page provides the complete NPI Profile along with additional information for Victor Kang, a primary care provider established in Saint Louis, Missouri with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1699193573 assigned on March 2014. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1699193573
Provider Name
VICTOR KANG
Gender
Male
Entity Type
Individual
Location Address
1402 S GRAND BLVD # M260 SAINT LOUIS, MO 63104
Location Phone
(314) 977-9853
Location Fax
(314) 977-9852
Mailing Address
3312 RUSSELL BLVD APT 11 SAINT LOUIS, MO 63104
Is Sole Proprietor?
No
Enumeration Date
03-28-2014
Last Update Date
03-28-2014
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A primary care provider (PCP) like Victor Kang sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Victor Kang is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699193573
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26189296514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 2 + 9 + 6 + 5 + 1 + 4 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1699193573 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417392895 SAPNA CHILAKAMARRI M.D.
Individual
Student in an Organized Health Care Education/Training Program1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(314) 397-6980
1609370725DR. POORIA HOSSEINI MD
Individual
Student in an Organized Health Care Education/Training Program1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(314) 977-9870
1871097998 MICHAEL BOSWELL DIFFLEY
Individual
Student in an Organized Health Care Education/Training Program1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(817) 713-4646
1720583651DR. MICHELLE MANGOLD DO
Individual
Student in an Organized Health Care Education/Training Program1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(210) 589-9846
1588151435 AMANDA GRYNIEWICZ ROWE MD
Individual
Student in an Organized Health Care Education/Training Program1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(414) 791-4485
1518457373 JOSEPH GLENN SINNWELL MD
Individual
Student in an Organized Health Care Education/Training Program1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(314) 577-8884
1871911628 DONALD RAY TAYLOR II D.O.
Individual
Anesthesiology1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(770) 833-5559
1326509613 LYNN BOURN
Individual
Student in an Organized Health Care Education/Training Program1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(315) 577-8317
1174084461 LAURA ROIDER
Individual
Student in an Organized Health Care Education/Training Program1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(314) 577-8317
1275094500 NABIHA QUADRI
Individual
Student in an Organized Health Care Education/Training Program1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(314) 977-9851
1124654199 ALIZABETH WEBER MD
Individual
Student in an Organized Health Care Education/Training Program1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(509) 844-6535
1265069157 CAROLINE NICOLE HAYNES DO
Individual
Student in an Organized Health Care Education/Training Program1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(314) 268-7274
1477180347 JACOB OSTERMAN DO
Individual
Student in an Organized Health Care Education/Training Program1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(314) 577-8750
1326676693 GABRIELLE VERONICA STATZER MD
Individual
Student in an Organized Health Care Education/Training Program1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(314) 977-9851
1801424981 BRADLEY DOUGLAS HAYNES DO
Individual
Student in an Organized Health Care Education/Training Program1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(314) 268-7274
1366050759 RICHA BUDHIRAJA
Individual
Student in an Organized Health Care Education/Training Program1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(314) 977-9851
1730765835DR. ROBERT H PATTERSON DO
Individual
Student in an Organized Health Care Education/Training Program1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(314) 577-8399
1861078958DR. MARK FRANCIS SOISSON MD
Individual
Student in an Organized Health Care Education/Training Program1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(314) 268-7274
1578149670 DEREK SHANE CHUNG DO
Individual
Student in an Organized Health Care Education/Training Program1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(314) 977-1753
1639755671 SURAJ KAUSHAL DO
Individual
Student in an Organized Health Care Education/Training Program1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
(314) 577-8933

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699193573, enumerated in the NPI registry as an "individual" on March 28, 2014

The provider is located at 1402 S Grand Blvd # M260 Saint Louis, Mo 63104 and the phone number is (314) 977-9853

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on March 28, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.