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GI RYOUNG KWON DPM
NPI 1134708100
Podiatrist - Foot & Ankle Surgery in Santa Monica, CA

Active since April 06, 2021PECOS EnrolledAccepts Medicare Assignment
2121 WILSHIRE BLVD STE 101, SANTA MONICA, CA 90403(201) 723-4661 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 27, 2024, Apr 6, 2021 (2 updates tracked since 2021).

About Gi Ryoung Kwon Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GI RYOUNG KWON DPM (NPI 1134708100) is an individual foot & ankle surgery provider in Santa Monica, California, licensed in California (E6036) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2021).

NPPES Registry Identity

NPI1134708100
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameGI RYOUNG KWONCredential: DPM
Location Address2121 WILSHIRE BLVD STE 101Santa Monica, CA 90403-5742
Mailing Address2121 Wilshire Blvd Ste 101Santa Monica, CA 90403-5742 · (201) 723-4661
Phone(201) 723-4661
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2021
Enumeration DateApril 6, 2021
Last NPPES UpdateJune 27, 20242 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1134708100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E6036
2121 WILSHIRE BLVD STE 101, Santa Monica, CA 90403
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gi Ryoung Kwon Dpm 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.

PECOS PAC ID9638614621
PECOS Enrollment IDI20240715001743
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANNA-MARIA BURACHEK DPM
Podiatrist (Foot & Ankle Surgery)
2121 WILSHIRE BLVD STE 101
SANTA MONICA, CA 90403
Los Angeles County (310) 828-0011
JAFARY FOOT & ANKLE SPECIALISTS LLC
Podiatrist (Foot & Ankle Surgery)
2121 WILSHIRE BLVD STE 101
SANTA MONICA, CA 90403
Los Angeles County (310) 828-0011
DR. AKHIL KORRAPATI DPM
Podiatrist (Foot & Ankle Surgery)
2121 WILSHIRE BLVD STE 101
SANTA MONICA, CA 90403
Los Angeles County (310) 828-0011
GINA NALBANDIAN DPM
Podiatrist (Foot & Ankle Surgery)
2121 WILSHIRE BLVD STE 101
SANTA MONICA, CA 90403
Los Angeles County (310) 828-0011
PNC PODIATRY OF SOUTHERN CALIFORNIA PC
Podiatrist
2121 WILSHIRE BLVD STE 101
SANTA MONICA, CA 90403
Los Angeles County (310) 828-0011
DR. NEILDA ERICKSON DPM
Podiatrist (Foot & Ankle Surgery)
2121 WILSHIRE BLVD STE 101
SANTA MONICA, CA 90403
Los Angeles County (310) 828-0011
ALEXANDER DREW MAROSHEK DPM
Podiatrist (Foot & Ankle Surgery)
2121 WILSHIRE BLVD STE 101
SANTA MONICA, CA 90403
Los Angeles County (310) 828-0011
DR. MARIO G PORCIELLO-DONNARUMMA DPM
Podiatrist (Foot & Ankle Surgery)
2121 WILSHIRE BLVD STE 101
SANTA MONICA, CA 90403
Los Angeles County (310) 828-0011

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 Gi Ryoung Kwon's NPI number?

The NPI number for Gi Ryoung Kwon is 1134708100. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Gi Ryoung Kwon located?

Gi Ryoung Kwon practices at 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403. The listed phone number is (201) 723-4661.

What is Gi Ryoung Kwon's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Gi Ryoung Kwon enrolled in Medicare?

Yes. Gi Ryoung Kwon 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.

When was this NPI record last updated?

The NPPES record for Gi Ryoung Kwon was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.