DR. SOON KWARK
NPI 1609939479
Family Medicine in Raleigh, NC
About Dr. Soon Kwark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SOON KWARK (NPI 1609939479) is an individual family medicine provider in Raleigh, North Carolina, licensed in North Carolina (38116) and active in the NPI registry since December 2006. She has opted out of Medicare through July 6, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Soon Kwark has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 6, 2016 through July 6, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
RALEIGH, NC 27614
RALEIGH, NC 27614
RALEIGH, NC 27614
RALEIGH, NC 27614
RALEIGH, NC 27614
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 Soon Kwark's NPI number?
The NPI number for Soon Kwark is 1609939479. It was assigned to this individual provider in the NPPES registry on December 19, 2006.
Where is Soon Kwark located?
Soon Kwark practices at 11200 Governor Manly Way Suite 205, Raleigh, NC 27614. The listed phone number is (919) 570-7700.
What is Soon Kwark's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Soon Kwark enrolled in Medicare?
No. Soon Kwark has opted out of Medicare through July 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Soon Kwark was last updated on July 9, 2013. 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.
# Dr. Soon Kwark · NPI 1609939479
Family Medicine physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since December 19, 2006.
## Identity
- **NPI:** 1609939479 (Entity type: Individual)
- **Enumerated:** December 19, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 38116 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 11200 GOVERNOR MANLY WAY, SUITE 205, Raleigh, NC 27614-8599
- **Phone:** (919) 570-7700
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 6, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 9, 2013
- **Other identifiers:** Medicaid 8950491 (NC); Medicare PIN 2199450C (NC); Medicare PIN 2199450B (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1609939479) · Data from the CMS NPPES public registry.