Individual provider Active NPI

Mildred Kwan, MD

  • Allergy Physician
  • Chapel Hill, NC
National Provider Identifier
1720134141
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
2015-01709 Issued in NC
Practice address
100 Eastowne Dr FL 5
Chapel Hill, NC 27514-2286
Phone
(849) 947-2645
Fax
(984) 974-2660
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD440182 PA
Rheumatology Physician 207RR0500X 116373 NC
Allergy Physician 207KA0200X 2015-01709 NC Primary

Addresses

Primary practice location

100 Eastowne Dr FL 5
Chapel Hill, NC 27514-2286

Mailing address

100 Eastowne Dr FL 5
Chapel Hill, NC 27514-2286
Phone (984) 974-2645

Other identifiers 1

IdentifierTypeStateIssuer
P953562OtherNCPHYSICIAN NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20151116000114 NC Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 5597957936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Emory University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of North Carolina at Chapel HillGroup PAC ID 0648181156, 2,028 clinicians

Practice addresses (Care Compare)

101 Meadowlands Dr
Hillsborough, NC 27278-8500
Phone (919) 732-6600

Hospital & facility affiliations

  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061
  • Rex Hospital Hospital, Raleigh, NC, CCN 340114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116373NCMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Sep 1, 2015 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

6013 Farrington Rd
Ste 301
Chapel Hill, NC 27517
Phone (984) 974-4191

100 Eastowne Dr
Fl 5
Chapel Hill, NC 27514
Phone (849) 947-2645

100 Eastowne Dr
Fl 56
Chapel Hill, NC 27514
Phone (984) 215-5556

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

101 Meadowlands Dr
Hillsborough, NC 27278
Phone (919) 732-6600

Interoperability endpoints

  • Direct secure messaging: mkwan132018@direct.unc.nchie.net

Organizations & group practices 2

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 2

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1720134141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EASTOWNE DR FL 5",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142286",
            "telephone_number": "984-974-2645",
            "fax_number": "984-974-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EASTOWNE DR FL 5",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142286",
            "telephone_number": "849-947-2645",
            "fax_number": "984-974-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "MILDRED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PA",
            "license": "MD440182",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "116373",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NC",
            "license": "2015-01709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN NUMBER",
            "identifier": "P953562",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.