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

Q: 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.

Q: 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.

Q: 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 8 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 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: August 09, 2026.

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

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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

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Secondary Practice Locations 2

Location 1444 Butterly Gardens DriveColumbus, OH 43215 · Phone (614) 722-2000

Location 2231 E Chestnut StLouisville, KY 40202-1821 · Phone (502) 629-4750 · Fax (502) 629-4617

Other Identifiers 3

Medicaid7100361040KY

Medicaid0271739OH

Medicaid300004157IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, CareSource, First Choice Next and more.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

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.

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