Individual provider Active NPI

Carolyn Kwon

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1013336072
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D86798 Issued in MD
Practice address
4940 Eastern Ave
Baltimore, MD 21224-2735
Phone
(410) 550-0100
NPI assigned
Apr 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D86798 MD Primary

Addresses

Primary practice location

4940 Eastern Ave
Baltimore, MD 21224-2735

Mailing address

9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Phone (410) 933-6423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190621001090 MD Practitioner - Diagnostic Radiology 7416281613 Reassigns benefits to 7 organizations
I20200414002316 CA Practitioner - Diagnostic Radiology 7416281613 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Pittsburgh School of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Bay Imaging Consultants Medical Group IncGroup PAC ID 9537069125, shared by 6 NPIs, 133 clinicians
John Muir Trauma Physicians Billing ServiceGroup PAC ID 3476542515, 111 clinicians
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

101 N Wolfe St
Apt 404
Baltimore, MD 21231-1696
Phone (925) 296-7150

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone (925) 947-5320

1601 Ygnacio Vly Rd
Walnut Creek, CA 94596-0921
Phone (925) 939-3000

751 S Bascom Ave
San Jose, CA 95128-2604

Hospital & facility affiliations

  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488
  • Sutter Delta Medical Center Hospital, Antioch, CA, CCN 050523
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

Merit-based Incentive Payment System (MIPS)

Final score
83.63 of 100Reported as group
Quality
67.56
Improvement activities
40
Cost
71.56

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as group
Quality
84.1
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D86798MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Jun 15, 2019 Accepting new patients
Magnetic Imaging Affiliates, LLC Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Feb 2, 2025 Accepting new patients
County of Santa Clara CurrentSince May 4, 2022 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
County of Santa Clara Current Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
John Muir Trauma Physicians Billing Service Diagnostic Radiology CurrentSince Sep 19, 2021 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
Queens University Medical Group CurrentSince Feb 2, 2025 Accepting new patients
Johns Hopkins University Diagnostic Radiology CurrentSince Jun 15, 2019 Accepting new patients
Northbay Healthcare Group CurrentSince Jan 28, 2025 Accepting new patients
Johns Hopkins University Current Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Feb 2, 2025 Accepting new patients
John Muir Magnetic Imaging Center Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
County of Santa Clara CurrentSince May 4, 2022 Accepting new patients

Locations

1320 Travis Blvd
Ste C
Fairfield, CA 94533
Phone (707) 624-7400

1101 B Gale Wilson Blvd
Ste 100
Fairfield, CA 94533
Phone (707) 646-4777

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

2500 Hilborn Rd
Ste 139
Fairfield, CA 94534

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

5730 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-1507

3100 Summit St
Oakland, CA 94609
Phone (510) 869-8377

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

1020 Nut Tree Rd
Ste 150
Vacaville, CA 95687

1002 Nut Tree Rd
Vacaville, CA 95687

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

2125 Oak Grove Rd
Ste 200
Walnut Creek, CA 94598
Phone (925) 993-9440

115 La Casa Via
#100
Walnut Creek, CA 94598
Phone (925) 295-1545

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

4940 Eastern Ave
Baltimore, MD 21224

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

Interoperability endpoints

  • Direct secure messaging: ckwon185303@santaclaravalley.direct-ci.net
  • Direct secure messaging: ckwon538450@hisp.ehr.sutterhealth.org
  • Direct secure messaging: ckwon536544@direct.hopkinsmedicine.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1013336072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR STE 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242735",
            "telephone_number": "410-550-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "CAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D86798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.