Jackson Kwok
NPI 1174101877 · Pediatrics Physician · Roanoke, VA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Kwok is a Pediatrics Physician provider in Roanoke, VA (NPI 1174101877).
Provider details
- NPI number
- 1174101877
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 0101282056 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-01
- Last updated
- 2024-06-20
- Certified
- 2024-06-20
Frequently asked questions
- What is Jackson Kwok's NPI number?
- Jackson Kwok's National Provider Identifier (NPI) is 1174101877, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Kwok's specialty?
- Jackson Kwok is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Kwok located?
- Jackson Kwok's practice location on file with NPPES is 4348 Electric Rd, Roanoke, VA 24018-0720.
- What is Jackson Kwok's phone number?
- The practice phone number listed in the NPPES registry for Jackson Kwok is (540) 769-0976.
- Does Jackson Kwok accept Medicare?
- Jackson Kwok is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jackson Kwok's NPI active?
- Yes — Jackson Kwok's NPI (1174101877) is active in the NPPES registry as of the last update on 2024-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.