Active NPI
Tak W. Kwan, MD
- Interventional Cardiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 168098
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WEJ461 | Other | NY | MEDICARE GROUP ID # |
| 01611545 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- State University of New York Downstate Medical Center, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Cardiovascular Disease | Current | Accepting new patients |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Chinatown Cardiology, P.C. | Cardiovascular Disease | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Cardiovascular Disease | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1235192345
-
- Surgery Physician
- New York, NY
- NPI 1104295716
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1487912416
-
- Internal Medicine Physician
- New York, NY
- NPI 1568868834
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1841669520
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.