Individual provider Active NPI

Alfred Kwon, DPM

  • Podiatrist
  • Littleton, CO
National Provider Identifier
1003225160
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD.0000855 Issued in CO
Practice address
10268 W Centennial Rd Ste 104
Littleton, CO 80127-6423
Phone
(303) 933-5048
NPI assigned
Aug 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD.0000855 CO Primary

Addresses

Primary practice location

10268 W Centennial Rd Ste 104
Littleton, CO 80127-6423

Mailing address

10268 W Centennial Rd Ste 104
Littleton, CO 80127-6423
Phone (303) 933-5048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200617000101 CO Practitioner - Podiatry 0345599411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10268 W Centennial Rd
104 Littleton Foot and Ankle Clinic
Littleton, CO 80127-6423
Phone (303) 933-5048

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue51
Removal of nail tissue289
Removal or shaving of skin growth137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD.0000855COMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alfred Kwon DPM Podiatrist CurrentSince May 15, 2020 Accepting new patients

Locations

10268 W Centennial Rd
Ste 104
Littleton, CO 80127
Phone (303) 738-5808

Networks

  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • NM HMO C-SNP
  • CO HMO
  • CO HMO D-SNP

Interoperability endpoints

  • Direct secure messaging: alfredkwon@lfaacl-co.direct.office.nextgen.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1003225160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10268 W CENTENNIAL RD STE 104",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276423",
            "telephone_number": "303-933-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10268 W CENTENNIAL RD STE 104",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276423",
            "telephone_number": "303-933-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-03",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "POD.0000855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.