KAREN H. KWAK (DO) – Family Medicine Physician, NPI 1720136740

KAREN H. KWAK (DO) is a healthcare provider. based in Halethorpe, Maryland. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. H0072647 (MD). The NPI Number for KAREN H. KWAK (DO) is 1720136740

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
KAREN H. KWAK (DO)
NPI
1720136740
Phone
(410) 737-5000
Address
1701 TWIN SPRINGS RD
Enumeration Date
8 January 2007
Last Update Date
1 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4109337600
Graduation Year
2004 (22 years ago)
PAC ID
5193819134
Group Practice PAC ID
3779495858
Professional Enrollment ID
I20130624000631
Address ID
MD212365916NO4920XBLVD300

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,488 FAMILY PRACTICE in MD

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Provider Addresses for KAREN H. KWAK (DO)

  • Kaiser Permanente Medical Center, 1701, Twin Springs Road, Arbutus, Baltimore County, Maryland, 21227, United States

    HALETHORPE, MD 212273553

    Phone: (410) 737-5000

    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: 2021-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20130624000631IFamily PracticeMDTBD
I20180516000940IFamily PracticeDCTBD
I20211220001725IFamily PracticeGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21227)

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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: 3779495858View full group profile

Reviews

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Frequently asked questions

What federal number belongs to KAREN H. KWAK (DO)?
The federal identifier for KAREN H. KWAK (DO) is NPI 1720136740.
Is KAREN H. KWAK (DO) currently active in the NPI registry?
CMS-published data lists KAREN H. KWAK (DO) as an active registrant.
What does KAREN H. KWAK (DO) treat or focus on?
Patients typically see KAREN H. KWAK (DO) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does KAREN H. KWAK (DO) practice in Maryland?
You will see Halethorpe, Maryland on file for KAREN H. KWAK (DO) alongside any extra practice locations.
How can I contact KAREN H. KWAK (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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