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PETER KWAK MD
NPI 1366186660
Student in an Organized Health Care Education/Training Program in Richmond, VA

Active since April 22, 2022PECOS Enrolled
VCUHS DEPT OF OTOLARYNGOLOGY RESIDENCY, 1250 E. MARSHALL STREET, RICHMOND, VA 23298(804) 828-3965 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Peter Kwak Md NPPES

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

PETER KWAK MD (NPI 1366186660) is an individual student in an organized health care education/training program in Richmond, Virginia and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366186660
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePETER KWAKCredential: MD
Location AddressVCUHS DEPT OF OTOLARYNGOLOGY RESIDENCY, 1250 E. MARSHALL STREETRichmond, VA 23298-0146
Mailing AddressVcuhs Gmea, Po Box 980257Richmond, VA 23298-0257 · (804) 828-9783
Phone(804) 828-3965
Sole ProprietorNo
Enumeration DateApril 22, 2022
NPPES CertifiedApril 9, 2022
✔ NPI 1366186660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
VCUHS DEPT OF OTOLARYNGOLOGY RESIDENCY, Richmond, VA 23298
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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)

Peter Kwak Md 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.

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 Peter Kwak's NPI number?

The NPI number for Peter Kwak is 1366186660. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Peter Kwak located?

Peter Kwak practices at Vcuhs Dept Of Otolaryngology Residency 1250 E. Marshall Street, Richmond, VA 23298. The listed phone number is (804) 828-3965.

What is Peter Kwak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Peter Kwak enrolled in Medicare?

Yes. Peter Kwak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Kwak was last updated on April 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.