GINA ROSE KWAK MD
NPI 1730020165
Student in an Organized Health Care Education/Training Program in Aurora, CO

Q: What is Gina Kwak's NPI number?

The NPI number for Gina Kwak is 1730020165. It was assigned to this individual provider in the NPPES registry on April 1, 2026.

Q: What is Gina 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 Gina Kwak was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 01, 2026PECOS Enrolled

13001 E 17TH PL, AURORA, CO 80045(303) 724-5375 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gina Rose Kwak Md NPPES

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

GINA ROSE KWAK MD (NPI 1730020165) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730020165

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameGINA ROSE KWAKCredential: MD

Location Address13001 E 17TH PLAurora, CO 80045-2570

Mailing Address13001 E 17th PlAurora, CO 80045-2570 · (303) 724-5375

Phone(303) 724-5375

Sole ProprietorNo

Enumeration DateApril 1, 2026

NPPES CertifiedApril 1, 2026

✔ NPI 1730020165 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.

13001 E 17TH PL, Aurora, CO 80045

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gina Rose 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.

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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.

PIYUSH KUMAR SHARMA M.D

Student in an Organized Health Care Education/Training Program

13001 E 17TH PL, UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME
AURORA, CO 80045

Adams County (303) 724-2680

BENJAMIN ROBERT WHARTON MD

Student in an Organized Health Care Education/Training Program