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

Myoung Kwak, MD

Individual provider Emergency Medicine Physician · NPI 1891350013

Myoung Kwak, MD is an Emergency Medicine in Fairfax, Virginia. Qualified in 2005, 21 years ago. Accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
21
Licensed in
MD, VA
In the registry since
2019
Specialties on file
2
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

12600 Fair Lakes Cir
Fairfax, VA 22033-4904
Phone: (201) 747-3229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0101276027 (VA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence D94087 (MD)

Record details

NPI number1891350013
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2019
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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