Individual provider Active NPI

Tak W. Kwan, MD

  • Interventional Cardiology Physician
  • New York, NY
National Provider Identifier
1639130925
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
168098 Issued in NY
Practice address
139 Centre St
Suite 307
New York, NY 10013-4408
Phone
(212) 334-3507
Fax
(212) 334-4728
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Congenital Heart Disease Physician 207RA0002X 168098 NY
Cardiovascular Disease Physician 207RC0000X 168098 NY
Interventional Cardiology Physician 207RI0011X 168098 NY Primary

Addresses

Primary practice location

139 Centre St
Suite 307
New York, NY 10013-4408

Mailing address

139 Centre St
Suite 307
New York, NY 10013-4408
Phone (212) 334-3507

Other identifiers 2

IdentifierTypeStateIssuer
WEJ461OtherNYMEDICARE GROUP ID #
01611545MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080123000574 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8527140060 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
State University of New York Downstate Medical Center, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
Chinatown Cardiology, P.C.Group PAC ID 6002706223, 8 clinicians

Practice addresses (Care Compare)

130 E 77TH St
New York, NY 10075-1851
Phone (212) 434-2810

4235 Main St
3M
Flushing, NY 11355-3959
Phone (718) 886-3723

Hospital & facility affiliations

  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Cardiovascular Disease CurrentSince Oct 1, 2021 Accepting new patients
North Shore - Lij Medical PC CurrentSince Oct 1, 2021 Accepting new patients
Chinatown Cardiology, P.C. Cardiovascular Disease CurrentSince Sep 1, 2011 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince Dec 11, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Dec 11, 2017 Accepting new patients

Locations

4235 Main St
Ste 3M
Flushing, NY 11355
Phone (718) 313-2368

10 Nathan D Perlman Pl
New York, NY 10003
Phone (212) 420-2124

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

30 7th Ave
New York, NY 10011
Phone (646) 665-6000

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

130 E 77th St
New York, NY 10075
Phone (212) 434-2606

139 Centre St
Ste 307
New York, NY 10013
Phone (347) 480-5287

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

300 Community Dr
Plandome, NY 11030

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: tkwan64517@northwell.direct-ci.com

Organizations & group practices 7

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 1

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1639130925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 307",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134408",
            "telephone_number": "212-334-3507",
            "fax_number": "212-334-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 307",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134408",
            "telephone_number": "212-334-3507",
            "fax_number": "212-334-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "TAK",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adult Congenital Heart Disease",
            "state": "NY",
            "license": "168098",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "168098",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "168098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID #",
            "identifier": "WEJ461",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01611545",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.