Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Kwan, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1518114859

Daniel Kwan, MD is a Plastic and Reconstructive Surgery in Providence, Rhode Island. Qualified in 2004, 22 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Illinois, Rhode Island and South Dakota.

Years since qualifying
22
Licensed in
IL, RI, SD
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

235 Plain St Bayside Bldg Ste 501
Providence, RI 02905-3240
Phone: (401) 444-5495
Fax: (401) 444-2740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence MD14569 (RI)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 125048116 (IL)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 8079 (SD)

Record details

NPI number1518114859
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 19, 2008
Last updated in NPPESMay 19, 2014
Mailing address235 Plain St, Bayside Building Suite 501, Providence, RI 02905-3240

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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