1. Home
  2. Directory
  3. Michigan
  4. Ann Arbor
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JACKY KWONG MD
NPI 1558822833
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since March 28, 2019PECOS Enrolled
1500 E MEDICAL CENTER DRIVE, 5344 CVC, ANN ARBOR, MI 48109(734) 936-4973 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2025, Jun 10, 2021 (2 updates tracked since 2021).

About Jacky Kwong Md NPPES

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

JACKY KWONG MD (NPI 1558822833) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351053810) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558822833
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACKY KWONGCredential: MD
Location Address1500 E MEDICAL CENTER DRIVE, 5344 CVCAnn Arbor, MI 48109-5864
Mailing Address1500 E Medical Center Drive, 5344 CvcAnn Arbor, MI 48109-5030
Phone(734) 936-4973
Sole ProprietorNo
Enumeration DateMarch 28, 2019
Last NPPES UpdateJuly 7, 20252 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1558822833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351053810
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.
Also ListedSurgeryTaxonomy 208600000X · License 125.077926 (IL)
1500 E MEDICAL CENTER DRIVE, Ann Arbor, MI 48109
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacky Kwong 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.

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.

MEGHAN HORN M.D.
Anesthesiology
1500 E MEDICAL CENTER DRIVE, 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4280
KEERTHI BURGI MD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, SPC 5331
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5738
ASMA NUSRAT M.D.
Pathology (Anatomic Pathology)
1500 E MEDICAL CENTER DRIVE, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109
Washtenaw County (800) 862-7284
MONICA G BARRY APRN,NP
Nurse Practitioner
1500 E MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
KYLEE E PHILLIPS MD
Emergency Medicine
1500 E MEDICAL CENTER DRIVE, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI 48109
Washtenaw County (734) 936-6666
RENEE ANN SHEA CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DRIVE, 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4280
ABHINAV NAFDAY
Emergency Medicine
1500 E MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109
Washtenaw County (734) 763-7919
BARBARA ROSE VAN KAINEN CNM
Advanced Practice Midwife
1500 E MEDICAL CENTER DRIVE, VON VOIGTLANDER WOMEN'S HOSPITAL
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000

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 Jacky Kwong's NPI number?

The NPI number for Jacky Kwong is 1558822833. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Jacky Kwong located?

Jacky Kwong practices at 1500 E Medical Center Drive 5344 Cvc, Ann Arbor, MI 48109. The listed phone number is (734) 936-4973.

What is Jacky Kwong's specialty?

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

Is Jacky Kwong enrolled in Medicare?

Yes. Jacky Kwong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacky Kwong was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.