MYOUNG KWAK MD
NPI 1891350013
Emergency Medicine in Fairfax, VA

Active since May 02, 2019PECOS EnrolledAccepts Medicare Assignment
12600 FAIR LAKES CIR, FAIRFAX, VA 22033(201) 747-3229 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 10, 2026, Mar 6, 2026, May 23, 2025 and 3 more (6 updates tracked since 2019).

About Myoung Kwak Md NPPES

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

MYOUNG KWAK MD (NPI 1891350013) is an individual emergency medicine provider in Fairfax, Virginia, licensed in Virginia (0101276027) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Novant Prince William Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1891350013
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMYOUNG KWAKCredential: MD
Location Address12600 FAIR LAKES CIRFairfax, VA 22033-4904
Mailing Address12600 Fair Lakes Cir Ste 100Fairfax, VA 22033-4904 · (703) 994-4511 · Fax (703) 994-4787
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 2, 2019
Last NPPES UpdateMarch 10, 20266 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1891350013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in VA · 0101276027✔ Licensed in MD · D94087
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
12600 FAIR LAKES CIR, Fairfax, VA 22033

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

Myoung Kwak Md 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 ID3173850732
PECOS Enrollment IDI20220810001778
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 Myoung Kwak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Emergency Medicine
12600 FAIR LAKES CIR
Fairfax, VA 22033
  • Reassigned Medicare billing, District of Columbia enrollment
Emergency Medicine
3300 GALLOWS RD
Falls Church, VA 22042
  • Reassigned Medicare billing, Virginia enrollment
  • 1,294 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Prince William Medical Center

Acute Care Hospitals · Manassas, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490045
Location8700 Sudley RdManassas, VA 20110 · Manassas City County
Emergency services Birthing friendly

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490144
Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22033 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
12600 FAIR LAKES CIR
FAIRFAX, VA 22033

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 Myoung Kwak's NPI number?

The NPI number for Myoung Kwak is 1891350013. It was assigned to this individual provider in the NPPES registry on May 2, 2019.

Where is Myoung Kwak located?

Myoung Kwak practices at 12600 Fair Lakes Cir, Fairfax, VA 22033. The listed phone number is (201) 747-3229.

What is Myoung Kwak's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Myoung Kwak enrolled in Medicare?

Yes. Myoung 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 Myoung Kwak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Myoung Kwak reassigns Medicare benefits to 2 organizations: Naum PLLC (Fairfax, VA) and Emergency Medicine Associates P.A., P.C. (Falls Church, VA). 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 Myoung Kwak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Myoung Kwak affiliated with any hospitals?

According to CMS data, Myoung Kwak is affiliated with Novant Prince William Medical Center and Uva Health Haymarket Medical Center.

When was this NPI record last updated?

The NPPES record for Myoung Kwak was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.