Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Theodore Alexander Kung, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1265695985

Dr. Theodore Alexander Kung, MD is a Plastic and Reconstructive Surgery in Ann Arbor, Michigan. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2008, 18 years ago. Practices with Regents of the University of Michigan, a 3,271-clinician group and accepts Medicare assignment. Licensed in Michigan and Washington.

Years since qualifying
18
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
MI, WA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

24 Frank Lloyd Wright Dr Lbby A
Ann Arbor, MI 48105-9484
Phone: (734) 998-6022
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 4301092228 (MI)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence MD60545604 (WA)

Record details

NPI number1265695985
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2008
Last updated in NPPESAugust 29, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2008 (18 years in practice)
Group practice Regents Of The University Of Michigan — 3271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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