Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MINHIE WILLOW KWAK MD
NPI 1629917380
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Q: What is Minhie Kwak's NPI number?

The NPI number for Minhie Kwak is 1629917380. It was assigned to this individual provider in the NPPES registry on March 27, 2026. The provider is also known as Willow Kwak MD.

Q: What is Minhie Kwak's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Minhie Kwak was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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 March 27, 2026PECOS Enrolled

1800 ORLEANS ST, BALTIMORE, MD 21287(410) 955-5000 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2026, Mar 27, 2026 (2 updates tracked since 2026).

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About Dr. Minhie Willow Kwak Md NPPES

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

DR. MINHIE WILLOW KWAK MD (NPI 1629917380) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629917380

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. MINHIE WILLOW KWAKCredential: MD

Location Address1800 ORLEANS STBaltimore, MD 21287-0010

Mailing Address6201 Greenleigh AveBaltimore, MD 21220-2004 · (410) 955-5000 · Fax (410) 500-4266

Phone(410) 955-5000

Sole ProprietorNo

Enumeration DateMarch 27, 2026

Last NPPES UpdateJune 18, 20262 updates tracked since enumeration

NPPES CertifiedJune 18, 2026

✔ NPI 1629917380 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.

1800 ORLEANS ST, Baltimore, MD 21287

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Other Names 1

Professional Name (2)Willow 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)

Dr. Minhie Willow 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.

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.

KATHRYN ROSENBLATT M.D.

Anesthesiology