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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. RAE WON KWON M.D.
NPI 1558058925
Internal Medicine in Charlottesville, VA

Active since April 18, 2023PECOS Enrolled
2250 IVY RD STE 200, CHARLOTTESVILLE, VA 22903(434) 654-1800 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2026, Oct 10, 2026, Aug 30, 2023 (3 updates tracked since 2023).

About Ms. Rae Won Kwon M.d. NPPES

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

MS. RAE WON KWON M.D. (NPI 1558058925) is an individual internal medicine provider in Charlottesville, Virginia, licensed in Virginia (0101289537) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Harrisburg.

NPPES Registry Identity

NPI1558058925
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMS. RAE WON KWONCredential: M.D.
Location Address2250 IVY RD STE 200Charlottesville, VA 22903-4968
Mailing Address3600 Forbes AvePittsburgh, PA 15213-3410
Phone(434) 654-1800
Sole ProprietorNo
Enumeration DateApril 18, 2023
Last NPPES UpdateOctober 16, 20263 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1558058925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101289537
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2250 IVY RD STE 200, Charlottesville, VA 22903
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Other Names 1

Former Name (1)Leeseul Kwon

Secondary Practice Location 1

Location 1205 S. Front Street, Suite 3CHarrisburg, PA 17104 · Phone (717) 231-8532

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Rae Won Kwon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 22903 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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

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

CAITLYN NOEL SUTTLES BULLER DO
Internal Medicine
2250 IVY RD STE 200
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 654-4550

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 Rae Won Kwon's NPI number?

The NPI number for Rae Won Kwon is 1558058925. It was assigned to this individual provider in the NPPES registry on April 18, 2023. The provider is also known as Leeseul Kwon.

Where is Rae Won Kwon located?

Rae Won Kwon practices at 2250 Ivy Rd Ste 200, Charlottesville, VA 22903. The listed phone number is (434) 654-1800.

What is Rae Won Kwon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rae Won Kwon enrolled in Medicare?

Yes. Rae Won Kwon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rae Won Kwon was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.