HAKYONG GLORIA KWAK MD
NPI 1366071037
Ophthalmology in Memphis, TN

Active since April 05, 2020PECOS EnrolledAccepts Medicare Assignment
825 RIDGE LAKE BLVD, MEMPHIS, TN 38120(901) 685-2200(901) 255-5631 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2025, Apr 5, 2020 (2 updates tracked since 2020).

About Hakyong Gloria Kwak Md NPPES

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

HAKYONG GLORIA KWAK MD (NPI 1366071037) is an individual ophthalmology provider in Memphis, Tennessee, licensed in Tennessee (74667) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of East Tennessee State University Quillen College Of Medicine (2020).

NPPES Registry Identity

NPI1366071037
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameHAKYONG GLORIA KWAKCredential: MD
Location Address825 RIDGE LAKE BLVDMemphis, TN 38120-9411
Mailing AddressPo Box 22510Jackson, MS 39225-2510 · (901) 685-2200 · Fax (901) 255-5631
Fax(901) 255-5631
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2020
Enumeration DateApril 5, 2020
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
NPI 1366071037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TN · 74667
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
825 RIDGE LAKE BLVD, Memphis, TN 38120

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Hakyong Gloria Kwak Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395176630
PECOS Enrollment IDI20250815002989, I20250828005510
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 38120 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 20

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

Nurse Practitioner (Family)
825 RIDGE LAKE BLVD
MEMPHIS, TN 38120
Nurse Anesthetist, Certified Registered
825 RIDGE LAKE BLVD
MEMPHIS, TN 38120
Ophthalmology
825 RIDGE LAKE BLVD
MEMPHIS, TN 38120
Optometrist
825 RIDGE LAKE BLVD
MEMPHIS, TN 38120
Optometrist
825 RIDGE LAKE BLVD
MEMPHIS, TN 38120
Optometrist
825 RIDGE LAKE BLVD
MEMPHIS, TN 38120
Optometrist
825 RIDGE LAKE BLVD
MEMPHIS, TN 38120
Registered Nurse
825 RIDGE LAKE BLVD
MEMPHIS, TN 38120

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 Hakyong Kwak's NPI number?

The NPI number for Hakyong Kwak is 1366071037. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Where is Hakyong Kwak located?

Hakyong Kwak practices at 825 Ridge Lake Blvd, Memphis, TN 38120. The listed phone number is (901) 685-2200.

What is Hakyong Kwak's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Hakyong Kwak enrolled in Medicare?

Yes. Hakyong Kwak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hakyong Kwak accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 2 other insurers list Hakyong Kwak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hakyong Kwak was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.