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KICHUL PAK MD
NPI 1982023008
Psychiatry & Neurology - Psychiatry in Hartford, CT

Active since April 16, 2014PECOS Enrolled
86.41/100
CMS Quality Rating
200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106(860) 545-7064(860) 545-7268 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kichul Pak Md NPPES

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

KICHUL PAK MD (NPI 1982023008) is an individual psychiatry provider in Hartford, Connecticut, licensed in Connecticut (60509) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982023008
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameKICHUL PAKCredential: MD
Location Address200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPTHartford, CT 06106
Mailing Address200 Retreat Avenue, Hartford Hospital Psychiatry DeptHartford, CT 06106-3309 · (860) 545-7064 · Fax (860) 545-7268
Phone(860) 545-7064
Fax(860) 545-7268
Sole ProprietorNo
Enumeration DateApril 16, 2014
Last NPPES UpdateJuly 5, 2018
✔ NPI 1982023008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CT · 60509
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
200 RETREAT AVENUE, Hartford, CT 06106
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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)

Kichul Pak 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06106 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

86.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Promoting Interoperability100
Improvement Activities40
Cost43.03

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.

DAVID LEE ARCHIBALD III LCSW
Social Worker (Clinical)
200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106
Capitol Planning Region (860) 545-7239
KATHERINE GRACE WINIARSKI LCSW
Social Worker (Clinical)
200 RETREAT AVENUE, HARTFORD HOSPITAL CHILD PSYCHIATRY DEPT
HARTFORD, CT 06106
Capitol Planning Region (860) 545-7239
DANIELLE GAYLE KOBY PHD
Psychologist (Clinical)
200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106
Capitol Planning Region (860) 545-7940
LAURA S DODGE
Social Worker (Clinical)
200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT.
HARTFORD, CT 06106
Capitol Planning Region (860) 545-7200
JESSICA LAUREN INGRASSIA LCSW
Social Worker (Clinical)
200 RETREAT AVENUE, HARTFORD HOSPITAL CHILD PSYCHIATRY
HARTFORD, CT 06106
Capitol Planning Region (855) 561-7135
DR. HEATHER MURRAY LATIN PH.D.
Psychologist (Clinical)
200 RETREAT AVENUE
HARTFORD, CT 06106
Capitol Planning Region (860) 545-7685
RACHEL M. DUZANT PSYD
Psychologist (Clinical)
200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106
Capitol Planning Region (860) 545-7665
MARY COELINE COLPOYS MD
Internal Medicine
200 RETREAT AVENUE, HARTFORD HOSPITAL MEDICINE DEPT
HARTFORD, CT 06106
Capitol Planning Region (860) 545-7224

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 Kichul Pak's NPI number?

The NPI number for Kichul Pak is 1982023008. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Where is Kichul Pak located?

Kichul Pak practices at 200 Retreat Avenue Hartford Hospital Psychiatry Dept, Hartford, CT 06106. The listed phone number is (860) 545-7064.

What is Kichul Pak's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kichul Pak enrolled in Medicare?

Yes. Kichul Pak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kichul Pak was last updated on July 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.