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

James Taekyoon Kwan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093460677

James Taekyoon Kwan is an Ophthalmology in Boston, Massachusetts. Qualified in 2022, 4 years ago. Licensed in Massachusetts and New Mexico.

Years since qualifying
4
Licensed in
MA, NM
In the registry since
2022
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Boston, MA

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 24788 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NM)

Record details

NPI number1093460677
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 13, 2022
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Boston