JIN KWON MD - NPI 1346446796 - Family Medicine in Santa Rosa, CA

Q: What is Jin Kwon's NPI number?

The NPI number for Jin Kwon is 1346446796. It was assigned to this individual provider in the NPPES registry on June 22, 2007.

Q: What is Jin Kwon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jin Kwon was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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About Jin Kwon Md NPPES

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

JIN KWON MD (NPI 1346446796) is an individual family medicine provider in Santa Rosa, California, licensed in Maryland (D79192) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2007).

NPPES Registry Identity

NPI1346446796

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJIN KWONCredential: MD

Location Address3324 CHANATE RDSanta Rosa, CA 95404-1708

Mailing Address811 4th St Nw, Apt#211Washington, DC 20001-4902 · (617) 901-2353

Phone(707) 576-4070

Fax(707) 576-4087

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 2007

Enumeration DateJune 22, 2007

Last NPPES UpdateJanuary 13, 2023

✔ NPI 1346446796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MD · D79192

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3324 CHANATE RD, Santa Rosa, CA 95404

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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

Jin Kwon Md 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 ID5193903177

PECOS Enrollment IDI20110621000763

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

MARIAH ANNE HANSEN PSYD

Psychologist