Individual provider Active NPI

Joshua Hyun-Ki Paek, MD

  • Family Medicine Physician
  • Rockwall, TX
National Provider Identifier
1609525062
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
W5916 Issued in TX
Practice address
2701 Sunset Ridge Dr Ste 200
Rockwall, TX 75032-0007
Phone
(972) 772-5450
Fax
(972) 772-5452
NPI assigned
Mar 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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 W5916 TX Primary

Addresses

Primary practice location

2701 Sunset Ridge Dr Ste 200
Rockwall, TX 75032-0007

Mailing address

211 Liberty Ave Apt 114
Lafayette, LA 70508-6865
Phone (214) 680-2527

Other practice location 1

1336 Edmonton Dr
Lewisville, TX 75077-2949
Phone (214) 680-2527

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220616001102 LA Order and Referring Only - Family PracticePractitioner - Family Practice 3072992379

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1609525062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 LIBERTY AVE APT 114",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086865",
            "telephone_number": "214-680-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SUNSET RIDGE DR STE 200",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750320007",
            "telephone_number": "972-772-5450",
            "fax_number": "972-772-5452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1336 Edmonton Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750772949",
            "country_code": "US",
            "telephone_number": "214-680-2527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAEK",
        "first_name": "JOSHUA",
        "middle_name": "HYUN-KI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-22",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "W5916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.