SHIU-KWAN FOK (MD) – Physical Medicine & Rehabilitation Physician, NPI 1104974062

SHIU-KWAN FOK (MD) is a healthcare provider. based in Woodland hills, California. specializing in Physical Medicine & Rehabilitation Physician. They hold the professional credentials MD. They hold a License No. A29328 (CA). The NPI Number for SHIU-KWAN FOK (MD) is 1104974062

Main info

Male
57 Years Of Experience
Accepts Medicare Assignment
Name
SHIU-KWAN FOK (MD)
NPI
1104974062
Phone
(818) 719-2000
Address
5601 DE SOTO AVE
Enumeration Date
8 January 2007
Last Update Date
21 June 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7604243380
Graduation Year
1969 (57 years ago)
PAC ID
4880744200
Group Practice PAC ID
8123917713
Professional Enrollment ID
I20090605000353
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SHIU-KWAN FOK (MD)

  • Kaiser Permanente Woodland Hills Medical Center, 5601, De Soto Avenue, Warner Center, Los Angeles, Los Angeles County, California, 91365, United States

    WOODLAND HILLS, CA 913676701

    Phone: (818) 719-2000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-06-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090605000353IPhysical Medicine And RehabilitationCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5416$0
99214Established patient office or other outpatient visit, 30-39 minutes5222$0
96136Administration of psychological or neuropsychological test, first 30 minutes5013$0
View full utilization report →

Insurance plans in this area (ZIP 91367)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123917713View full group profile
NameSpecialtyState
Physical Medicine And Rehabilitation, Pain ManagementAZ
-CA
-CA
-CA
Nurse PractitionerCA
-CA
Clinical PsychologistCA
-CA
Neurology, Pain ManagementCA
Clinical PsychologistCA

Reviews

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Frequently asked questions

What identifier follows SHIU-KWAN FOK (MD) across health systems?
The NPI 1104974062 uniquely identifies SHIU-KWAN FOK (MD) in U.S. healthcare data.
Should I treat SHIU-KWAN FOK (MD) as an active provider?
Patients and plans typically see SHIU-KWAN FOK (MD) as active in the national extract.
What does the directory say SHIU-KWAN FOK (MD) does?
Insurance directories may phrase it differently, but here SHIU-KWAN FOK (MD) maps to Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to SHIU-KWAN FOK (MD)?
SHIU-KWAN FOK (MD) shows a connection to Woodland Hills, California in registry-derived data.
Why is information missing for SHIU-KWAN FOK (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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