Individual provider Active NPI

Karen Yeh Kwan, MD

  • Family Medicine Physician
  • Midlothian, TX
National Provider Identifier
1376501924
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3661 Issued in TX
Practice address
1441 S Midlothian Pkwy
Suite 100
Midlothian, TX 76065-5591
Phone
(469) 800-9600
Fax
(469) 800-9610
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K3661 TX Primary

Addresses

Primary practice location

1441 S Midlothian Pkwy
Suite 100
Midlothian, TX 76065-5591

Mailing address

1441 S Midlothian Pkwy
Suite 100
Midlothian, TX 76065-5591
Phone (469) 800-9600

Other identifiers 2

IdentifierTypeStateIssuer
8M2958OtherTXBCBS
044024005MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061103000247 TX Practitioner - Family Practice 9436156460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1441 S Midlothian Pkwy
100 Baylor Scott and White
Midlothian, TX 76065-5591
Phone (469) 800-9600

2460 N Ih 35E
100 Baylor Scott and White
Waxahachie, TX 75165-5267
Phone (469) 800-9500

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K3661TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
Healthtexas Provider Network CurrentSince Apr 1, 2019 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Healthtexas Provider Network Family Medicine Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

700 Walter Reed Blvd
Ste 203
Garland, TX 75042
Phone (972) 426-9900

1441 S Midlothian Pkwy
Ste 100A
Midlothian, TX 76065
Phone (469) 800-9440

1441 S Midlothian Pkwy
Ste 100
Midlothian, TX 76065
Phone (469) 800-9600

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

505 N Highway 77
Ste 200
Waxahachie, TX 75165
Phone (972) 923-1686

Interoperability endpoints

  • Direct secure messaging: kkwan222467@direct.sw.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1376501924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 S MIDLOTHIAN PKWY",
            "address_2": "SUITE 100",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655591",
            "telephone_number": "469-800-9600",
            "fax_number": "469-800-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 S MIDLOTHIAN PKWY",
            "address_2": "SUITE 100",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655591",
            "telephone_number": "469-800-9600",
            "fax_number": "469-800-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "KAREN",
        "middle_name": "YEH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8M2958",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044024005",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

Verify at the official NPI Registry.