KYOUNGHWA KWON M.A
NPI 1205071396
Speech-Language Pathologist in Ellicott City, MD

Active since December 04, 2008
5086 DORSEY HALL DR, ELLICOTT CITY, MD 21042(410) 505-4559(410) 505-4993 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kyounghwa Kwon M.a NPPES

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

KYOUNGHWA KWON M.A (NPI 1205071396) is an individual speech-language pathologist provider in Ellicott City, Maryland and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1205071396
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKYOUNGHWA KWONCredential: M.A
Location Address5086 DORSEY HALL DREllicott City, MD 21042-7711
Mailing Address5086 Dorsey Hall DrEllicott City, MD 21042-7711 · (901) 277-6699 · Fax (410) 505-4993
Fax(410) 505-4993
Sole ProprietorYes
Enumeration DateDecember 4, 2008
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1205071396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
5086 DORSEY HALL DR, Ellicott City, MD 21042

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyounghwa Kwon M.a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Kyounghwa Kwon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Speech-Language Pathologist
5086 DORSEY HALL DR
Ellicott City, MD 21042
  • Reassigned Medicare billing, Maryland enrollment
  • 3 clinicians in this Medicare group
Physical Therapist
1020 SAINT PAUL ST
Baltimore, MD 21202
  • Reassigned Medicare billing, Maryland enrollment
  • 38 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.

Other Providers at the Same Location NPPES 4

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

Occupational Therapist
5086 DORSEY HALL DR
ELLICOTT CITY, MD 21042
Speech-Language Pathologist
5086 DORSEY HALL DR
ELLICOTT CITY, MD 21042
Occupational Therapist
5086 DORSEY HALL DR
ELLICOTT CITY, MD 21042
Speech-Language Pathologist
5086 DORSEY HALL DR
ELLICOTT CITY, MD 21042

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 Kyounghwa Kwon's NPI number?

The NPI number for Kyounghwa Kwon is 1205071396. It was assigned to this individual provider in the NPPES registry on December 4, 2008.

Where is Kyounghwa Kwon located?

Kyounghwa Kwon practices at 5086 Dorsey Hall Dr, Ellicott City, MD 21042. The listed phone number is (410) 505-4559.

What is Kyounghwa Kwon's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kyounghwa Kwon enrolled in Medicare?

Yes. Kyounghwa Kwon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kyounghwa Kwon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyounghwa Kwon reassigns Medicare benefits to 2 organizations: Capitol Health Care, LLC (Ellicott City, MD) and Salus Capital Inc (Baltimore, MD). 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 Kyounghwa Kwon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kyounghwa Kwon was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.