Active NPI
Isabel Pui-Yee Kwan, M.D.
- Neonatal-Perinatal Medicine Physician
- Portland, OR
National Provider Identifier
1831506302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- MD197434
- Practice address
- 501 N Graham Street
Suite 265
Portland, OR 97227 - Phone
- (803) 282-7002
- Fax
- (503) 280-1290
- NPI assigned
- Jul 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD197434 | OR | |
| Pediatrics Physician | 208000000X | MD61029063 | WA | |
| Pediatrics Physician | 208000000X | 036142730 | IL | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD61029063 | WA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD197434 | OR | Primary |
Addresses
Primary practice location
501 N Graham Street
Suite 265
Portland, OR 97227
Mailing address
501 N Graham Street
Suite 265
Portland, OR 97227
Phone (803) 282-7002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170525000123 | IL | Order and Referring Only - Pediatric Medicine | 9931476843 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036142730 | IL | MD | Pediatrics Physician |
| MD197434 | OR | MD | Pediatrics Physician |
| MD61029063 | WA | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1831506302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N GRAHAM STREET",
"address_2": "SUITE 265",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97227",
"telephone_number": "803-282-7002",
"fax_number": "503-280-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N GRAHAM STREET",
"address_2": "SUITE 265",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97227",
"telephone_number": "803-282-7002",
"fax_number": "503-280-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAN",
"first_name": "ISABEL",
"middle_name": "PUI-YEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-16",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD197434",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD61029063",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036142730",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "WA",
"license": "MD61029063",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "OR",
"license": "MD197434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.