Dr. Ruby Kwak, MD

Dermatology in Ann Arbor, MI. Individual provider (NPI-1).

NPI number1124606512

StatusActive

Last updated in NPPESJun 23, 2026

Details

NPI: 1124606512
Entity type: Individual (NPI-1)
Name: Dr. Ruby Kwak
Credential: MD
Sex: Female
Sole proprietor: Yes
Enumeration date: Mar 29, 2021
Certification date: Jun 23, 2026
Last updated: Jun 23, 2026

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - DERMATOLOGY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207N00000X	Dermatology	4301517523	MI	Yes

Practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Phone 734-936-4000

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633

Phone 734-647-5299

Other practice locations

55 Fruit St
Boston, MA 02114-2696

Phone 617-726-2000

Is something wrong?

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Other Dermatology Physician providers in Ann Arbor, MI

All 63 Dermatology Physician providers in Ann Arbor · All 17,406 providers in Ann Arbor

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