MICHELLE TUNG KWOK M.D.
NPI 1104905959
Psychiatry & Neurology - Psychiatry in San Mateo, CA

Active since November 03, 2006Opted out of Medicare · through Jan 1, 2027
1510 FASHION ISLAND BLVD, SUITE 110, SAN MATEO, CA 94404(408) 421-5826 Get Directions Write a Review

NPPES record last updated: April 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michelle Tung Kwok M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE TUNG KWOK M.D. (NPI 1104905959) is an individual psychiatry provider in San Mateo, California, licensed in California (A84230) and active in the NPI registry since November 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104905959
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMICHELLE TUNG KWOKCredential: M.D.
Location Address1510 FASHION ISLAND BLVD, SUITE 110San Mateo, CA 94404-1596
Mailing Address1510 Fashion Island Blvd, Suite 110San Mateo, CA 94404-1596 · (408) 421-5826
Sole ProprietorYes
Enumeration DateNovember 3, 2006
Last NPPES UpdateApril 4, 2013
NPI 1104905959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CA · A84230
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1510 FASHION ISLAND BLVD, San Mateo, CA 94404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Michelle Tung Kwok M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2019 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2019
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
1510 FASHION ISLAND BLVD, SUITE 110
SAN MATEO, CA 94404
Marriage & Family Therapist
1510 FASHION ISLAND BLVD, SUITE 110
SAN MATEO, CA 94404
Marriage & Family Therapist
1510 FASHION ISLAND BLVD, SUITE 110
SAN MATEO, CA 94404
Marriage & Family Therapist
1510 FASHION ISLAND BLVD, SUITE 110
SAN MATEO, CA 94404
Psychologist (Clinical)
1510 FASHION ISLAND BLVD, SUITE 110
SAN MATEO, CA 94404
Community/Behavioral Health
1510 FASHION ISLAND BLVD
SAN MATEO, CA 94404
Psychologist (Clinical)
1510 FASHION ISLAND BLVD, SUITE 110
SAN MATEO, CA 94404
Psychologist (Clinical)
1510 FASHION ISLAND BLVD, SUITE 110
SAN MATEO, CA 94404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Kwok's NPI number?

The NPI number for Michelle Kwok is 1104905959. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Michelle Kwok located?

Michelle Kwok practices at 1510 Fashion Island Blvd Suite 110, San Mateo, CA 94404. The listed phone number is (408) 421-5826.

What is Michelle Kwok's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Michelle Kwok enrolled in Medicare?

No. Michelle Kwok has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michelle Kwok was last updated on April 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.