WYNN-C KWAN – Emergency Medicine Physician, NPI 1013370352

WYNN-C KWAN is a healthcare provider. based in Loxahatchee, Florida. specializing in EMERGENCY MEDICINE. They hold a License No. 12160 (SD). The NPI Number for WYNN-C KWAN is 1013370352

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
WYNN-C KWAN
NPI
1013370352
Phone
Not provided
Address
16087 E WHITTON DR
Enumeration Date
4 April 2016
Last Update Date
5 January 2021

Doctor Profile

Medical School Name
FLORIDA INTERNATIONAL UNIV, COLLEGE OF MEDICINE
Secondary Phone
2536971848
Graduation Year
2016 (10 years ago)
PAC ID
9335430990
Group Practice PAC ID
7810980968
Professional Enrollment ID
I20210728001544
Address ID
WA983723715PU401XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,102 EMERGENCY MEDICINE in LA

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Provider Addresses for WYNN-C KWAN

  • 16087 E WHITTON DR

    LOXAHATCHEE, FL 334704129

    Phone:

    Type: Mailing

  • 2001, Tulane Avenue, Mid-City, New Orleans, Orleans Parish, Louisiana, 70112, United States

    NEW ORLEANS, LA 70112

    Phone: (504) 702-2287

    Type: Location

  • 2905 3RD AVE SE

    ABERDEEN, SD 574015420

    Phone:

    Type: Mailing

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: 2021-07-28

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
I20210728001544IEmergency MedicineWATBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8484$0
99284Emergency department visit with moderate level of medical decision making7676$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6560$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only5757$0
99283Emergency department visit with low level of medical decision making2525$0
View full utilization report →

Insurance plans in this area (ZIP 33470)

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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: 7810980968View full group profile

Reviews

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Frequently asked questions

How do payers reference WYNN-C KWAN?
For WYNN-C KWAN, use NPI 1013370352 as the unique 10-digit identifier.
Is WYNN-C KWAN still an active registrant?
WYNN-C KWAN carries an active NPI according to the public dataset.
How would a patient describe WYNN-C KWAN's focus?
For WYNN-C KWAN, the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is WYNN-C KWAN located near Loxahatchee?
WYNN-C KWAN currently maps to Loxahatchee, Florida in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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