Individual provider Active NPI

Miki Suk Hwang, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Darby, PA
National Provider Identifier
1588183800
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP017868 Issued in PA
Practice address
1500 Lansdowne Ave
Darby, PA 19023-1200
Phone
(610) 237-4122
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP017868 PA Primary

Addresses

Primary practice location

1500 Lansdowne Ave
Darby, PA 19023-1200

Mailing address

216 Howarth Rd
Media, PA 19063-5353
Phone (610) 566-8322

Other practice location 1

5401 Cedar Ave
Philadelphia, PA 19143-1903
Phone (215) 748-9021

Other names 1

  • Miki Paek Hwang Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230719001297 VA Practitioner - Nurse Practitioner 8123386158 Reassigns benefits to 2 organizations
I20230803001197 DC Practitioner - Nurse Practitioner 8123386158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Healthcare PCGroup PAC ID 3779723309, 102 clinicians
Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians

Practice addresses (Care Compare)

4167 Merchant PLZ
Woodbridge, VA 22192-5088
Phone (703) 878-8800

43810 Central Station Dr
Suite 160
Ashburn, VA 20147-7210
Phone (667) 303-1042

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP017868PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Primary Care and Associates LLC CurrentSince Nov 1, 2025 Accepting new patients
Capital Healthcare PC Dba Allcare Current Accepting new patients
Capital Healthcare PC CurrentSince Apr 7, 2023 Accepting new patients

Locations

15245 Shady Grove Rd
Ste 150
Rockville, MD 20850
Phone (667) 303-1042

15825 Shady Grove Rd
Ste 140
Rockville, MD 20850
Phone (301) 519-2118

15245 Shady Grove Rd
Ste 340
Rockville, MD 20850

6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993

43810 Central Station Dr
Ste 160
Ashburn, VA 20147
Phone (301) 426-6500

4167 Merchant Plz
Woodbridge, VA 22192
Phone (703) 878-8800

Interoperability endpoints

  • Direct secure messaging: miki.hwang.1@15482.direct.athenahealth.com

Organizations & group practices 3

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1588183800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 HOWARTH RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635353",
            "telephone_number": "610-566-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LANSDOWNE AVE",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231200",
            "telephone_number": "610-237-4122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 Cedar Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191431903",
            "country_code": "US",
            "telephone_number": "215-748-9021",
            "fax_number": "215-748-9021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HWANG",
        "first_name": "MIKI",
        "middle_name": "SUK",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP017868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKI",
            "last_name": "HWANG",
            "middle_name": "PAEK",
            "credential": "PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Darby, PA

Sources for this page

Verify at the official NPI Registry.