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STEPHANIE KWON D.O.
NPI 1467879411
Pediatrics - Pediatric Critical Care Medicine in Charleston, SC

Active since March 27, 2014PECOS EnrolledAccepts Medicare Assignment
171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 1, 2025, Oct 23, 2020, Mar 9, 2020 and 2 more (5 updates tracked since 2017).

About Stephanie Kwon D.o. NPPES

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

STEPHANIE KWON D.O. (NPI 1467879411) is an individual pediatric critical care medicine provider in Charleston, South Carolina, licensed in South Carolina (83174) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Kansas City University Of Physicians And Surgeons (2014).

NPPES Registry Identity

NPI1467879411
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameSTEPHANIE KWONCredential: D.O.
Location Address171 ASHLEY AVECharleston, SC 29425-8908
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116
Phone(843) 792-1414
Sole ProprietorNo
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 2014
Enumeration DateMarch 27, 2014
Last NPPES UpdateDecember 1, 20255 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1467879411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in SC · 83174
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 34013275 (OH), 04053 (KY)
Also ListedHospitalistTaxonomy 208M00000X · License 34-013275 (OH)
171 ASHLEY AVE, Charleston, SC 29425
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1231 E Chestnut StLouisville, KY 40202-1821 · Phone (502) 629-4750 · Fax (502) 629-4617
Location 2444 Butterly Gardens DriveColumbus, OH 43215 · Phone (614) 722-2000

Other Identifiers 3

Medicaid7100361040KY
Medicaid0271739OH
Medicaid300004157IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, First Choice Next, Molina Healthcare.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

Stephanie Kwon D.o. 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 ID1153699376
PECOS Enrollment IDI20200803002745
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 Reassignments

2

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

University Medical Associates Of The Medical University Of South Carol
Same address
Obstetrics & Gynecology
171 ASHLEY AVE
Charleston, SC 29425
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,594 clinicians in this Medicare group
NPI 1013934629 (843) 792-1414
Norton Children's Medical Group, LLC
496 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

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 20

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

CAROLYN REED WORD M.D.
Allergy & Immunology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
CHRISTOPHER ARNOLD HENSLEY CRNA
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
ANGELINA INDIRA PHILLIPS
Pathology (Anatomic Pathology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
BLAKE DANIEL FORCINA
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
CHELSEA LEE CRUISE SW
Social Worker
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
DR. RICHARD HAYDEN JONES MD
Radiology (Pediatric Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
LINDSEY HENDRICKSON NP
Nurse Practitioner
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
MICHAEL DAMASO DE GUZMAN
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414

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 Stephanie Kwon's NPI number?

The NPI number for Stephanie Kwon is 1467879411. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is Stephanie Kwon located?

Stephanie Kwon practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Stephanie Kwon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Stephanie Kwon enrolled in Medicare?

Yes. Stephanie 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 organizations bill Medicare for Stephanie Kwon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Kwon reassigns Medicare benefits to 2 organizations: University Medical Associates Of The Medical University Of South Carol (Charleston, SC) and Norton Children's Medical Group, LLC (Louisville, KY). 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 Stephanie Kwon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Kwon accept?

Health plans from CareSource, First Choice Next and Molina Healthcare list Stephanie 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.

When was this NPI record last updated?

The NPPES record for Stephanie Kwon was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.