KELVIN YOHANES SOEWONO DO
NPI 1225667017
Internal Medicine in Dallas, TX
About Kelvin Yohanes Soewono Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELVIN YOHANES SOEWONO DO (NPI 1225667017) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (T6045) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center- Waxahachie, and is a graduate of Rowan University School Of Osteopathic Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Kelvin Yohanes Soewono Do 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baylor Scott & White Medical Center- Waxahachie
Acute Care Hospitals · Waxahachie, TXMedical City Arlington
Acute Care Hospitals · Arlington, TXMethodist Mansfield Medical Center
Acute Care Hospitals · Mansfield, TXMethodist Midlothian Medical Center
Acute Care Hospitals · Midlothian, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DALLAS, TX 75203
DALLAS, TX 75203
DALLAS, TX 75203
DALLAS, TX 75203
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 Kelvin Soewono's NPI number?
The NPI number for Kelvin Soewono is 1225667017. It was assigned to this individual provider in the NPPES registry on April 3, 2020.
Where is Kelvin Soewono located?
Kelvin Soewono practices at 1441 N Beckley Ave, Dallas, TX 75203. The listed phone number is (214) 947-6700.
What is Kelvin Soewono's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kelvin Soewono enrolled in Medicare?
Yes. Kelvin Soewono 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.
What insurance does Kelvin Soewono accept?
Health plans from Blue Cross and Blue Shield of Texas list Kelvin Soewono 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.
Is Kelvin Soewono affiliated with any hospitals?
According to CMS data, Kelvin Soewono is affiliated with Baylor Scott & White Medical Center- Waxahachie, Medical City Arlington, Methodist Mansfield Medical Center and Methodist Midlothian Medical Center.
When was this NPI record last updated?
The NPPES record for Kelvin Soewono was last updated on March 21, 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.
# Kelvin Yohanes Soewono, DO · NPI 1225667017
Internal Medicine physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since April 3, 2020.
## Identity
- **NPI:** 1225667017 (Entity type: Individual)
- **Enumerated:** April 3, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** T6045 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1441 N BECKLEY AVE, Dallas, TX 75203-1201
- **Phone:** (214) 947-6700 · **Fax:** (214) 947-6701
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Rowan University School Of Osteopathic Medicine, class of 2020
## Record status
- **NPPES last updated:** March 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1225667017) · Data from the CMS NPPES public registry.