JACKSON KWOK
NPI 1174101877
Pediatrics in Roanoke, VA

Q: What is Jackson Kwok's NPI number?

The NPI number for Jackson Kwok is 1174101877. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Jackson Kwok's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Kwok was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 01, 2021PECOS Enrolled

4348 ELECTRIC RD, ROANOKE, VA 24018(540) 769-0976(540) 857-5389 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2024, Apr 1, 2021 (2 updates tracked since 2021).

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About Jackson Kwok NPPES

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

JACKSON KWOK (NPI 1174101877) is an individual pediatrics provider in Roanoke, Virginia, licensed in Virginia (0101282056) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174101877

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJACKSON KWOK

Location Address4348 ELECTRIC RDRoanoke, VA 24018-0720

Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5705

Phone(540) 769-0976

Fax(540) 857-5389

Sole ProprietorNo

Enumeration DateApril 1, 2021

Last NPPES UpdateJune 20, 20242 updates tracked since enumeration

NPPES CertifiedJune 20, 2024

✔ NPI 1174101877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in VA · 0101282056

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4348 ELECTRIC RD, Roanoke, VA 24018

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Kwok is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24018 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

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 20

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

ALISON ENSOR DUNN MD

Pediatrics