Individual provider Active NPI

Timothy B Kwan, PA-C

  • Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1336511328
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
300286 Issued in LA
Practice address
8017 Picardy Ave
Baton Rouge, LA 70809-3538
Phone
(225) 769-3636
Fax
(225) 771-8047
NPI assigned
Oct 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 300286 LA Primary

Addresses

Primary practice location

8017 Picardy Ave
Baton Rouge, LA 70809-3538

Mailing address

8017 Picardy Ave
Baton Rouge, LA 70809-3538
Phone (225) 769-3636

Other practice location 1

5702 Mancuso Ln
Baton Rouge, LA 70809-3526
Phone (225) 769-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910003041 LA Practitioner - Physician Assistant 6103329784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Pain Institute LLCGroup PAC ID 2860645157, 2 clinicians

Practice addresses (Care Compare)

8017 Picardy Ave
Baton Rouge, LA 70809-3538
Phone (225) 769-3636

9001 Summa Ave
Suite 346
Baton Rouge, LA 70809-3779
Phone (225) 769-3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1336511328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8017 PICARDY AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093538",
            "telephone_number": "225-769-3636",
            "fax_number": "225-771-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8017 PICARDY AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093538",
            "telephone_number": "225-769-3636",
            "fax_number": "225-771-8047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5702 Mancuso Ln",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708093526",
            "country_code": "US",
            "telephone_number": "225-769-3636",
            "fax_number": "225-771-8047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWAN",
        "first_name": "TIMOTHY",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-29",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "300286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.