KATIE KWAN OD
NPI 1124672142
Optometrist in Chicago, IL
About Katie Kwan Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATIE KWAN OD (NPI 1124672142) is an individual optometrist in Chicago, Illinois, licensed in Illinois (046011337) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katie Kwan Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Katie Kwan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Melrose Park, IL 60160
- Reassigned Medicare billing, Illinois enrollment
- 8 clinicians in this Medicare group
Chicago, IL 60612
- Reassigned Medicare billing, Illinois enrollment
- 2,127 clinicians in this Medicare group
Memphis, TN 38104
- Reassigned Medicare billing, Tennessee enrollment
- 94 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60639 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Katie Kwan's NPI number?
The NPI number for Katie Kwan is 1124672142. It was assigned to this individual provider in the NPPES registry on July 29, 2019.
Where is Katie Kwan located?
Katie Kwan practices at 2700 N Narragansett Ave # F4-F5, Chicago, IL 60639. The listed phone number is (218) 731-4120.
What is Katie Kwan's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Katie Kwan enrolled in Medicare?
Yes. Katie Kwan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Katie Kwan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katie Kwan reassigns Medicare benefits to 3 organizations: Tennenbaum And Anstadt, Ltd (Melrose Park, IL), The Board Of Trustees Of The University Of Illinois (Chicago, IL) and Southern College Of Optometry (Memphis, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katie Kwan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katie Kwan accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 12 other insurers list Katie Kwan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Katie Kwan was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Katie Kwan, OD · NPI 1124672142
Optometrist provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since July 29, 2019.
## Identity
- **NPI:** 1124672142 (Entity type: Individual)
- **Enumerated:** July 29, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 046011337 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2700 N NARRAGANSETT AVE # F4-F5, Chicago, IL 60639-1083
- **Phone:** (218) 731-4120
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Tennenbaum And Anstadt, Ltd (NPI 1750495321, Melrose Park, IL); The Board Of Trustees Of The University Of Illinois (NPI 1265651434, Chicago, IL); Southern College Of Optometry (NPI 1851384986, Memphis, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2019
## Record status
- **NPPES last updated:** March 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124672142) · Data from the CMS NPPES public registry.