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DONGWON KWAK MD
NPI 1538006333
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 30, 2026PECOS Enrolled
925 CHESTNUT ST STE 500, PHILADELPHIA, PA 19107(267) 339-3738 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dongwon Kwak Md NPPES

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

DONGWON KWAK MD (NPI 1538006333) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538006333
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDONGWON KWAKCredential: MD
Location Address925 CHESTNUT ST STE 500Philadelphia, PA 19107-4206
Mailing Address925 Chestnut St Ste 500Philadelphia, PA 19107-4206
Phone(267) 339-3738
Sole ProprietorYes
Enumeration DateApril 30, 2026
NPPES CertifiedApril 30, 2026
✔ NPI 1538006333 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.
925 CHESTNUT ST STE 500, Philadelphia, PA 19107
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Other Names 1

Other Name (5)Daniel Kwak Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dongwon 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 Dongwon Kwak's NPI number?

The NPI number for Dongwon Kwak is 1538006333. It was assigned to this individual provider in the NPPES registry on April 30, 2026. The provider is also known as Daniel Kwak MD.

Where is Dongwon Kwak located?

Dongwon Kwak practices at 925 Chestnut St Ste 500, Philadelphia, PA 19107. The listed phone number is (267) 339-3738.

What is Dongwon 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 Dongwon Kwak enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dongwon Kwak was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.