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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jeannie Kwon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Texas Southwestern Medical Center At Dallas
Same address
Anatomic Pathology & Clinical Pathology
5323 HARRY HINES BLVD
Dallas, TX 75390
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1104891050 (214) 645-0624

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-6400
BENJAMIN SETH MARTINEZ MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3111
LEE M. LUNSFORD MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-8000
TING-YI CHEN M.D.
Internal Medicine (Infectious Disease)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-2800
DR. STEPHANIE C JONES MD
Pain Medicine (Interventional Pain Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-9374
DR. KATHERINE ANNA JOHNSON MD
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 456-0771
ALEX KOYFMAN M.D.
Emergency Medicine
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-0624
MR. JAWAHAR JAGARAPU M.D
Pediatrics (Neonatal-Perinatal Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3903

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 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.

Where is Jeannie Kwon located?

Jeannie Kwon practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 645-0624.

What is Jeannie Kwon's specialty?

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

Is Jeannie Kwon enrolled in Medicare?

Yes. Jeannie 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.

Which organization bills Medicare for Jeannie Kwon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeannie Kwon reassigns Medicare benefits to University Of Texas Southwestern Medical Center At Dallas (Dallas, TX). The 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 Jeannie Kwon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeannie Kwon accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Jeannie Kwon 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 Jeannie Kwon affiliated with any hospitals?

According to CMS data, Jeannie Kwon is affiliated with Childrens Medical Ctr Of Dallas.

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 5 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.