KEVIN I PAK MD
NPI 1508922527
Physical Medicine & Rehabilitation - Sports Medicine in Jackson Heights, NY

Q: What is Kevin Pak's NPI number?

The NPI number for Kevin Pak is 1508922527. It was assigned to this individual provider in the NPPES registry on December 28, 2006. The provider is also known as Ikyo Pak MD.

Q: What is Kevin Pak's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Pak was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

7206 NORTHERN BLVD, 2ND FLOOR, JACKSON HEIGHTS, NY 11372(866) 670-6824(178) 533-1774 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2025, Dec 6, 2022, Nov 16, 2016 (3 updates tracked since 2016).

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About Kevin I Pak Md NPPES

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

KEVIN I PAK MD (NPI 1508922527) is an individual sports medicine provider in Jackson Heights, New York, licensed in New York (247616-B18) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and is a graduate of State University Of New York Downstate Medical Center (2004).

NPPES Registry Identity

NPI1508922527

Entity TypeIndividualMale

Primary Taxonomy2081S0010X

Provider Legal NameKEVIN I PAKCredential: MD

Location Address7206 NORTHERN BLVD, 2ND FLOORJackson Heights, NY 11372-1049

Mailing Address7206 Northern Blvd, 2nd FloorJackson Heights, NY 11372-1049 · (866) 670-6824 · Fax (178) 533-1774

Phone(866) 670-6824

Fax(178) 533-1774

Sole ProprietorNo

Medical School CMSState University Of New York Downstate Medical CenterGraduated 2004

Enumeration DateDecember 28, 2006

Last NPPES UpdateOctober 9, 20253 updates tracked since enumeration

NPPES CertifiedOctober 9, 2025

✔ NPI 1508922527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081S0010X

License✔ Licensed in NY · 247616-B18

Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License MT184507 (PA)

7206 NORTHERN BLVD, Jackson Heights, NY 11372

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Other Names 1

Former Name (1)Ikyo Pak Md

Other Identifiers 1

Medicaid03143491NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin I Pak 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 ID941347645

PECOS Enrollment IDI20091029000326

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.

Medicare Billing Reassignments

Medicare enrollment records show Kevin Pak reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York Queens Medicine And Surgery, P.C.

3.6 mi

Multi-Specialty

5645 MAIN ST
Flushing, NY 11355

Reassigned Medicare billing, New York enrollment
645 clinicians in this Medicare group

NPI 1740792233 (718) 661-8706

Hudson Spine And Pain Medicine, PC

6.5 mi

Pain

281 BROADWAY, 2ND FLOOR
New York, NY 10007

Reassigned Medicare billing, New York enrollment
22 clinicians in this Medicare group

NPI 1639418858 (646) 596-7386

Physio Logic Medicine, P.C.

6.6 mi

Multi-Specialty

409 FULTON STREET, 2ND FLOOR
Brooklyn, NY 11201

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Physio Logic Medicine PC
4 clinicians in this Medicare group

NPI 1013293588 (718) 260-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

237 services150 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

195 services123 patients

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324

Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.

137 services24 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

111 services55 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

67 services60 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

65 services65 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

59 services21 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484

This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.

47 services43 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

42 services37 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

42 services19 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

28 services22 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

26 services22 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330055

Location56-45 Main StreetFlushing, NY 11355 · Queens County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.8

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0642

DME-Orthotic Devices · category DF007N

1 supplier25 claims25 services$140.61 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

MS. SUSANA K CHAN PA

Physician Assistant