MINYOUNG KWAK M.D., M.P.H.
NPI 1467879338
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Rochester, NY

Active since March 27, 2014PECOS EnrolledAccepts Medicare Assignment
1415 PORTLAND AVE STE 240, ROCHESTER, NY 14621(585) 922-3260 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Minyoung Kwak M.d., M.p.h. NPPES

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

MINYOUNG KWAK M.D., M.P.H. (NPI 1467879338) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Rochester, New York, licensed in New York (302715) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with United Memorial Medical Center, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1467879338
Entity TypeIndividualFemale
Primary Taxonomy208G00000X
Provider Legal NameMINYOUNG KWAKCredential: M.D., M.P.H.
Location Address1415 PORTLAND AVE STE 240Rochester, NY 14621-3022
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2014
Enumeration DateMarch 27, 2014
Last NPPES UpdateSeptember 16, 2024
NPPES CertifiedSeptember 16, 2024
NPI 1467879338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in NY · 302715
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
1415 PORTLAND AVE STE 240, Rochester, NY 14621

Secondary Practice Location 1

Location 1450 Clarkson AveBrooklyn, NY 11203-2012 · Phone (785) 298-8351

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

Minyoung Kwak M.d., M.p.h. 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 ID6901128495
PECOS Enrollment IDI20241002001386
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

United Memorial Medical Center

Acute Care Hospitals · Batavia, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330073
Location127 North StreetBatavia, NY 14020 · Genesee County
Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 7

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
1415 PORTLAND AVE STE 240
ROCHESTER, NY 14621
Physician Assistant (Surgical)
1415 PORTLAND AVE STE 240
ROCHESTER, NY 14621
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1415 PORTLAND AVE STE 240
ROCHESTER, NY 14621
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1415 PORTLAND AVE STE 240
ROCHESTER, NY 14621
Nurse Practitioner
1415 PORTLAND AVE STE 240
ROCHESTER, NY 14621
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1415 PORTLAND AVE STE 240
ROCHESTER, NY 14621
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1415 PORTLAND AVE STE 240
ROCHESTER, NY 14621

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 Minyoung Kwak's NPI number?

The NPI number for Minyoung Kwak is 1467879338. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is Minyoung Kwak located?

Minyoung Kwak practices at 1415 Portland Ave Ste 240, Rochester, NY 14621. The listed phone number is (585) 922-3260.

What is Minyoung Kwak's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Minyoung Kwak enrolled in Medicare?

Yes. Minyoung 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.

Is Minyoung Kwak affiliated with any hospitals?

According to CMS data, Minyoung Kwak is affiliated with United Memorial Medical Center, Rochester General Hospital and Unity Hospital.

When was this NPI record last updated?

The NPPES record for Minyoung Kwak was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.