Peter C.K. Kwan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G5274 Issued in TX

Practice address

17510 W Grand Pkwy S
Suite 210
Sugar Land, TX 77479-2645

Phone

(281) 725-5855

Fax

(281) 725-5872

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pkwan@direct.uspi.com

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.

• Asian American Health Coalition of the Greater Houston Area

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1972239341
  NPD (past)
• Family Practice Associates of Houston

  • Family Medicine Physician
  • Sugar Land, TX
  • NPI 1396777165
  NPD (past)
• Memorial Hermann Health System

  • Family Medicine Physician
  • Sugar Land, TX
  • NPI 1073556239
  NPD (past)
• Memorial Hermann Health System

  • Community/Retail Pharmacy
  • Houston, TX
  • NPI 1366229619
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1609815406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17510 W GRAND PKWY S STE 210",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792647",
            "telephone_number": "281-725-5855",
            "fax_number": "281-725-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17510 W GRAND PKWY S",
            "address_2": "SUITE 210",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792645",
            "telephone_number": "281-725-5855",
            "fax_number": "281-725-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "PETER",
        "middle_name": "C.K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139416502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139416514",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jini Punnoose Kuruvilla, D.D.S.
• Monica Ann Kuruvilla, PHARMD
• Carson Ray Kuzawa, PA-C
• Anna Doris Kwan, RPH
• Melissa Kwan, MD
• Christopher C Kwon, MD
• Debie Lea Kyles, LCSW
• Kyphar LLC
• Andrew-Viet Huy La, DDS
• Trina C La, PHARMD

• Family Medicine Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.