1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JAE HYUN KWON MD
NPI 1669091112
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 15, 2020PECOS Enrolled
545 BARNHILL DR, INDIANAPOLIS, IN 46202(317) 274-4966 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jae Hyun Kwon Md NPPES

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

JAE HYUN KWON MD (NPI 1669091112) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669091112
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAE HYUN KWONCredential: MD
Location Address545 BARNHILL DRIndianapolis, IN 46202-5112
Mailing Address545 Barnhill DrIndianapolis, IN 46202-5112 · (317) 274-4966
Phone(317) 274-4966
Sole ProprietorNo
Enumeration DateApril 15, 2020
NPPES CertifiedApril 15, 2020
✔ NPI 1669091112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
545 BARNHILL DR, Indianapolis, IN 46202
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jae Hyun Kwon Md 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.

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.

KEERET KAUR DHILLON MD
Internal Medicine
545 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-8438
DR. JOHN J. COLEMAN III M.D.
Surgery (Plastic and Reconstructive Surgery)
545 BARNHILL DR, EH 232
INDIANAPOLIS, IN 46202
Marion County (317) 274-3636
MELLISA MOORMAN NP
Nurse Practitioner
545 BARNHILL DR, EH 203
INDIANAPOLIS, IN 46202
Marion County (317) 274-3086
MATTHEW TURNER MD
Dermatology
545 BARNHILL DR, EH 139
INDIANAPOLIS, IN 46202
Marion County (317) 274-7705
UNIVERSITY NEUROSURGICAL ASSOCIATES, INC.
Specialist
545 BARNHILL DR, SUITE #139
INDIANAPOLIS, IN 46202
Marion County (317) 274-8422
UNIVERSITY PEDIATRIC PLASTIC SURGERY ASSOCIATES, PC
Surgery (Plastic and Reconstructive Surgery)
545 BARNHILL DR, EH 232
INDIANAPOLIS, IN 46202
Marion County (317) 274-3636
DR. IVAN HADAD M.D.
Plastic Surgery
545 BARNHILL DR, SUITE 202 EMERSON HALL
INDIANAPOLIS, IN 46202
Marion County (317) 274-4966
DR. BRANDON MICHAEL LARSON MD
Student in an Organized Health Care Education/Training Program
545 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 278-0394

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 Jae Hyun Kwon's NPI number?

The NPI number for Jae Hyun Kwon is 1669091112. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Jae Hyun Kwon located?

Jae Hyun Kwon practices at 545 Barnhill Dr, Indianapolis, IN 46202. The listed phone number is (317) 274-4966.

What is Jae Hyun Kwon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jae Hyun Kwon enrolled in Medicare?

Yes. Jae Hyun Kwon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jae Hyun Kwon was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.