JEANNIE KYUNGSUN KWON MD
NPI 1457571531
Radiology - Pediatric Radiology in Dallas, TX

Q: What is Jeannie Kwon's NPI number?

The NPI number for Jeannie Kwon is 1457571531. It was assigned to this individual provider in the NPPES registry on April 30, 2007. The provider is also known as Jeannie Kyungsun Whang MD.

Q: What is Jeannie Kwon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Q: When was this NPI record last updated?

The NPPES record for Jeannie Kwon was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 30, 2007PECOS EnrolledAccepts Medicare Assignment

74.59/100

CMS Quality Rating

5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 645-0624(214) 645-0078 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jeannie Kyungsun Kwon Md NPPES

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

JEANNIE KYUNGSUN KWON MD (NPI 1457571531) is an individual pediatric radiology provider in Dallas, Texas, licensed in Texas (M6244) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Childrens Medical Ctr Of Dallas, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1457571531

Entity TypeIndividualFemale

Primary Taxonomy2085P0229X

Provider Legal NameJEANNIE KYUNGSUN KWONCredential: MD

Location Address5323 HARRY HINES BLVDDallas, TX 75390-7208

Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 645-0624 · Fax (214) 645-0078

Phone(214) 645-0624

Fax(214) 645-0078

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateApril 30, 2007

Last NPPES UpdateMay 12, 2026

NPPES CertifiedMay 12, 2026

✔ NPI 1457571531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085P0229X

License✔ Licensed in TX · M6244

Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License M6244 (TX)

5323 HARRY HINES BLVD, Dallas, TX 75390

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Other Names 1

Former Name (1)Jeannie Kyungsun Whang Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Jeannie Kyungsun 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 ID840383550

PECOS Enrollment IDI20070911000220

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Childrens Medical Ctr Of Dallas

Childrens · Dallas, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number453302

Location1935 Medical District DriveDallas, TX 75235 · Dallas County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.12

Promoting Interoperability

100

Improvement Activities

Cost

59.2

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.

MRS. TANYA MARIE PLETIN PA-C

Physician Assistant