DR. HEEWON KWAK (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1396186300

DR. HEEWON KWAK (M.D.) is a healthcare provider. based in Oak lawn, Illinois. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 125060961 (IL). The NPI Number for DR. HEEWON KWAK (M.D.) is 1396186300

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. HEEWON KWAK (M.D.)
NPI
1396186300
Phone
(708) 684-5226
Address
4440 W 95TH ST
Enumeration Date
8 July 2013
Last Update Date
9 December 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
8477232210
Graduation Year
2011 (15 years ago)
PAC ID
8325341472
Group Practice PAC ID
7911924428
Professional Enrollment ID
I20170616000294
Address ID
IL600681143PA1775XSTXX300

Contacts

Secure Messaging
hkwak283880@direct.myadvocateaurora.org
FHIR Endpoint
https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

766 PATHOLOGY in IL

Provider Addresses for DR. HEEWON KWAK (M.D.)

  • 4440 W 95TH ST

    OAK LAWN, IL 604532600

    Phone: (708) 684-5226

    Type: Mailing

  • 5841 S MARYLAND AVE

    UNIVERSITY OF CHICAGO DEPARTMENT OF PATHOLOGY

    CHICAGO, IL 606371447

    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: 2017-06-16

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
I20170616000294IPathologyILTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity755406$0
84165Protein measurement, serum674590$0
86334Immunologic analysis technique on serum (immunofixation)369327$0
88342Special stained specimen slides to examine tissue, initial procedure270218$0
88341Special stained specimen slides to examine tissue, each additional procedure20170$0
View full utilization report →

Insurance plans in this area (ZIP 60453)

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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: 7911924428View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. HEEWON KWAK (M.D.) in the U.S.?
In the U.S., DR. HEEWON KWAK (M.D.) is identified by NPI 1396186300.
Quick check: is DR. HEEWON KWAK (M.D.) active?
Public NPPES data shows DR. HEEWON KWAK (M.D.) with an active NPI status right now.
Which specialty label fits DR. HEEWON KWAK (M.D.)?
NPPES ties DR. HEEWON KWAK (M.D.) to Anatomic Pathology & Clinical Pathology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. HEEWON KWAK (M.D.)?
DR. HEEWON KWAK (M.D.) shows a connection to Oak Lawn, Illinois in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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