Simeon Mingtack Kwan, DO

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

P4880 Issued in TX

Practice address

2505 N State Highway 360 Ste 200
Grand Prairie, TX 75050-7838

Phone

(844) 232-0500

Fax

(844) 249-5579

NPI assigned

Jul 12, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 12

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, LA, WA, ID, AZ, OR, AL, GA, NM, NV, MT, UT, NE, IA, MO, IN, SD, SC, NC, NJ, FL, OH22 enrollments

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 22

Specialty

Family Practice

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Hospice Hospice, Pasadena, TX, CCN 671703

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skwan20539@carelonhealth.direct-ci.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• DRC Health Systems, LP

  • Community Based Hospice Care Agency
  • Pasadena, TX
  • NPI 1174969240

  Contracted Managing Employee

  CMS ownership

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.

• TMH Physician Associates PLLC

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1275779225

  Family Medicine

  Medicare reassignment NPD
• Carelon Medical Partners of North Carolina PC

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1659775831
  Medicare reassignment NPD
• Carelon Medical Partners of Texas PA

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1508267535
  Medicare reassignment
• Houston Methodist Specialty Physicians

  • Otolaryngology Physician
  • Houston, TX
  • NPI 1902614332
  Medicare reassignment
• Carelon Medical Partners, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1124443403

  AL, AZ, FL, GA, IA, ID, IN, MO, MT, NE, NJ, NM, NV, OH, OR, SC, SD, UT, WA

  Medicare reassignment
• TMH Physician Associates PLLC

  • Orthopaedic Surgery Physician
  • Spring, TX
  • NPI 1043061351
  NPD
• Caremore Medical Group of North Carolina, PC

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1750903134

  Family Medicine

  NPD
• DRC Health Systems, LP

  • Home Health Agency
  • Kingwood, TX
  • NPI 1063806230
  NPD (past)
• DRC Health Systems, LP

  • Community Based Hospice Care Agency
  • Pasadena, TX
  • NPI 1174969240

  Family Medicine

  NPD (past)
• Carelon Medical Partners of Kansas, PA

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Leawood, KS
  • NPI 1952831422
  NPD (past)

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

• DRC Health Systems, LP

  • Community Based Hospice Care Agency
  • Pasadena, TX
  • NPI 1174969240
  Care Compare affiliation

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1508154543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 N STATE HIGHWAY 360 STE 200",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750507838",
            "telephone_number": "844-232-0500",
            "fax_number": "844-249-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 N STATE HIGHWAY 360 STE 200",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750507838",
            "telephone_number": "844-232-0500",
            "fax_number": "844-249-5579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5055 Preston Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775052019",
            "country_code": "US",
            "telephone_number": "713-476-0270",
            "fax_number": "713-476-0258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2926 Georgetown St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770053028",
            "country_code": "US",
            "telephone_number": "713-715-8747",
            "fax_number": "847-221-6863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWAN",
        "first_name": "SIMEON",
        "middle_name": "MINGTACK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "20658",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "P4880",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "OR",
            "license": "DO200808",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "AK",
            "license": "126216",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "LA",
            "license": "307102",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CO",
            "license": "CDR.0000536",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "WA",
            "license": "OP61036685",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NM",
            "license": "DO2021-0022",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "UT",
            "license": "12603369-1204",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "008714",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NV",
            "license": "CL0088",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MT",
            "license": "104072",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348533602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Catherine Kwarteng Nyarko, PMHNP
• L & B Group Home LLC
• L&H Scientific, LLC
• Lake Ridge Eye Care PA

• Hospice and Palliative Medicine (Family Medicine) Physician in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.