JUNGHAE HELEN KWON MD
NPI 1558504340
General Practice in Rocky River, OH

Q: What is Junghae Kwon's NPI number?

The NPI number for Junghae Kwon is 1558504340. It was assigned to this individual provider in the NPPES registry on April 9, 2009.

Q: What is Junghae Kwon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: Is Junghae Kwon enrolled in Medicare?

No. Junghae Kwon has opted out of Medicare through May 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Junghae Kwon was last updated on March 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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 09, 2009Opted out of Medicare · through May 9, 2027

19800 DETROIT RD, ROCKY RIVER, OH 44116(440) 995-0555(440) 995-1444 Get Directions Write a Review

NPPES record last updated: March 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Junghae Helen Kwon Md NPPES

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

JUNGHAE HELEN KWON MD (NPI 1558504340) is an individual general practice provider in Rocky River, Ohio, licensed in Ohio (35-033979) and active in the NPI registry since April 2009. She has opted out of Medicare through May 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1558504340

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameJUNGHAE HELEN KWONCredential: MD

Location Address19800 DETROIT RDRocky River, OH 44116-1816

Mailing Address19800 Detroit RdRocky River, OH 44116-1816 · (440) 995-0555 · Fax (440) 995-1444

Phone(440) 995-0555

Fax(440) 995-1444

Sole ProprietorNo

Enumeration DateApril 9, 2009

Last NPPES UpdateMarch 24, 2015

✔ NPI 1558504340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in OH · 35-033979

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

19800 DETROIT RD, Rocky River, OH 44116

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Junghae Helen Kwon Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 9, 2019 through May 9, 2027.

Opt-Out Effective DateMay 9, 2019

Opt-Out In Effect ThroughMay 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 9

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

DR. DAVID A GUMUCIO D.O.

Family Medicine

19800 DETROIT RD
ROCKY RIVER, OH 44116

Cuyahoga County (440) 333-1107

LAURA TRAMER

Nurse Practitioner (Family)

19800 DETROIT RD
ROCKY RIVER, OH 44116

Cuyahoga County (216) 536-1440

MARIA HOUSEL M.A. CCC-SLP

Speech-Language Pathologist

19800 DETROIT RD
ROCKY RIVER, OH 44116

Cuyahoga County (216) 938-5093

REBECCA A FREDRICK DO

Family Medicine

19800 DETROIT RD
ROCKY RIVER, OH 44116

Cuyahoga County (440) 333-1107

ELIZABETH DARLING BCBA

Behavior Analyst

19800 DETROIT RD
ROCKY RIVER, OH 44116

Cuyahoga County (440) 895-2020

THE CLEVELAND CLINIC FOUNDATION

General Practice

19800 DETROIT RD, FLR 2
ROCKY RIVER, OH 44116

Cuyahoga County (216) 444-2273

ELIANA MARIA DIAZ DURAN MD

Pediatrics

19800 DETROIT RD
ROCKY RIVER, OH 44116

Cuyahoga County (216) 370-6960

COLLEEN B STASZAK D.O.

Family Medicine

19800 DETROIT RD
ROCKY RIVER, OH 44116

Cuyahoga County (440) 333-1107

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 Junghae Kwon's NPI number?

The NPI number for Junghae Kwon is 1558504340. It was assigned to this individual provider in the NPPES registry on April 9, 2009.

Where is Junghae Kwon located?

Junghae Kwon practices at 19800 Detroit Rd, Rocky River, OH 44116. The listed phone number is (440) 995-0555.

What is Junghae Kwon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Junghae Kwon enrolled in Medicare?

No. Junghae Kwon has opted out of Medicare through May 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Junghae Kwon was last updated on March 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.