1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Obstetrics Gynecology
  6. NPI Profile

DR. DAE T KWAK M.D.
NPI 1598710253
Obstetrics & Gynecology in Chicago, IL

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
80.83/100
CMS Quality Rating
3860 W OGDEN AVE, CHICAGO, IL 60623(872) 588-3000(872) 588-3021 Get Directions Write a Review

NPPES record last updated: November 16, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Dae T Kwak M.d. NPPES

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

DR. DAE T KWAK M.D. (NPI 1598710253) is an individual obstetrics & gynecology provider in Chicago, Illinois, licensed in Illinois (036-101810) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (1995).

NPPES Registry Identity

NPI1598710253
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. DAE T KWAKCredential: M.D.
Location Address3860 W OGDEN AVEChicago, IL 60623-2460
Mailing Address3860 W Ogden AveChicago, IL 60623-2460 · (872) 588-3000 · Fax (872) 588-3021
Phone(872) 588-3000
Fax(872) 588-3021
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1995
Enumeration DateMay 23, 2006
Last NPPES UpdateNovember 16, 2012
✔ NPI 1598710253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036-101810
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3860 W OGDEN AVE, Chicago, IL 60623
Open in Google Maps ↗

Other Names 1

Former Name (1)Dae H Kwak M.d.

Other Identifiers 2

Medicare PINK07757IL
Medicare UPINI09591IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dr. Dae T Kwak M.d. 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 ID1456321926
PECOS Enrollment IDI20040730000640
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

2

Medicare enrollment records show Dae Kwak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lawndale Christian Health Center
0.1 mi
Federally Qualified Health Center (FQHC)
3860 W OGDEN AVE
Chicago, IL 60623
  • Reassigned Medicare billing, Illinois enrollment
  • 147 clinicians in this Medicare group
NPI 1245289214 (773) 843-2705
Mount Sinai Community Foundation Dba Sinai Medical Group
1.2 mi
Multi-Specialty
1611 S CICERO AVE
Cicero, IL 60804
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Mount Sinai Community Foundation
  • 646 clinicians in this Medicare group
NPI 1194168377 (708) 477-4840

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60623 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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.

80.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.96
Promoting Interoperability72
Improvement Activities40
Cost63.15

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.

JOONGYU DANIEL SONG MD
Internal Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
ANNA TORNQUIST
Counselor (Professional)
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
DR. ALISHA RONETTE TILLMAN DO
Family Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
DR. THOMAS W BOCKLE M.D.
Pediatrics
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
EDWIN W MANGRAM II D.D.S.
Dentist
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
LINDSAY J MCCRACKEN P.A.-C
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
LISA ANNE WERNER PA
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
MRS. HEIDI MILLER NP
Nurse Practitioner
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000

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 Dae Kwak's NPI number?

The NPI number for Dae Kwak is 1598710253. It was assigned to this individual provider in the NPPES registry on May 23, 2006. The provider is also known as Dae H Kwak M.D..

Where is Dae Kwak located?

Dae Kwak practices at 3860 W Ogden Ave, Chicago, IL 60623. The listed phone number is (872) 588-3000.

What is Dae Kwak's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Dae Kwak enrolled in Medicare?

Yes. Dae 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.

Which organizations bill Medicare for Dae Kwak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dae Kwak reassigns Medicare benefits to 2 organizations: Lawndale Christian Health Center (Chicago, IL) and Mount Sinai Community Foundation Dba Sinai Medical Group (Cicero, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dae Kwak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dae Kwak accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Dae Kwak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dae Kwak was last updated on November 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.