Active NPI
Carolyn Kwon
- Diagnostic Radiology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D86798
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Inc
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
- Eden Medical Center
- Sutter Delta Medical Center
- Alta Bates Summit Medical Center - Alta Bates Camp
- Santa Clara Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 61 of 100
- Quality
- 59.41
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 71.45
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.63 of 100
- Quality
- 67.56
- Improvement activities
- 40
- Cost
- 71.56
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.67 of 100
- Quality
- 84.1
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D86798 | MD | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Magnetic Imaging Affiliates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Queens North Hawaii Community Hospital | Current | Accepting new patients | |
| County of Santa Clara | Current | 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 | Current | Accepting new patients |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| John Muir Trauma Physicians Billing Service | Diagnostic Radiology | Current | 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 | Current | Accepting new patients | |
| Johns Hopkins University | Diagnostic Radiology | Current | Accepting new patients |
| Northbay Healthcare Group | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Queens North Hawaii Community Hospital | Current | Accepting new patients | |
| John Muir Magnetic Imaging Center | Diagnostic Radiology | Current | Accepting new patients |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| County of Santa Clara | Current | 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
- ckwon185303@santaclaravalley.direct-ci.net
- ckwon538450@hisp.ehr.sutterhealth.org
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Diagnostic Radiology Physician
- Walnut Creek, CA
- NPI 1356597637
-
- Diagnostic Radiology Physician
- Walnut Creek, CA
- NPI 1831756139
MD
-
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
- Diagnostic Radiology Physician
- Fairfield, CA
- NPI 1811940661
MD
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- General Acute Care Hospital
- Castro Valley, CA
- NPI 1063812907
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1295181477
-
- General Acute Care Hospital
- Antioch, CA
- NPI 1467808659
-
- General Acute Care Hospital
- Berkeley, CA
- NPI 1639523004
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.