Individual provider Active NPI

David Sung Kwon, M.D.

  • Diagnostic Radiology Physician
  • Greensboro, NC
National Provider Identifier
1053385732
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2017-02106 Issued in NC
Practice address
1331 N Elm St Ste 200
Greensboro, NC 27401-6304
Phone
(336) 274-9617
Fax
(336) 482-2177
NPI assigned
Feb 17, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 154925 MA
Diagnostic Radiology Physician 2085R0202X 2017-02106 NC Primary

Addresses

Primary practice location

1331 N Elm St Ste 200
Greensboro, NC 27401-6304

Mailing address

1331 N Elm St Ste 200
Greensboro, NC 27401-6304
Phone (336) 274-9617

Other names 1

  • David Sung Kwon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, HI, NC, CA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20051018000789 MA Practitioner - Diagnostic Radiology 3173549250 Reassigns benefits to 7 organizations
I20170927002077 HI Practitioner - Diagnostic Radiology 3173549250 Reassigns benefits to 6 organizations
I20171005000565 NC Practitioner - Diagnostic Radiology 3173549250
I20251210002566 CA Practitioner - Diagnostic Radiology 3173549250 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrimack Radiology-Cra LLCGroup PAC ID 8426287269, 60 clinicians
MW Radiology-Cra LLCGroup PAC ID 6406270040, 40 clinicians
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

1101 B Gale Wilson Blvd
Suite 100
Fairfield, CA 94533-3771
Phone (707) 646-4646

2033 Main St
Athol, MA 01331-3535
Phone (978) 249-3511

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (925) 296-7150

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 937-6240

500 Ala Moana Blvd
Suite 7 421
Honolulu, HI 96813-4902
Phone (925) 296-7150

585 Lebanon St
Melrose, MA 02176-3225
Phone (781) 979-3000

751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154925MAMDDiagnostic Radiology Physician
2017-02106NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MW Radiology-Cra LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Jan 8, 2026 Accepting new patients
Pratt Radiology Associates, Inc Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Dec 19, 2025 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince May 1, 2025 Accepting new patients
John Muir Magnetic Imaging Center Diagnostic Radiology CurrentSince Dec 29, 2025 Accepting new patients
Merrimack Radiology-Cra LLC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Straub Clinic & Hospital CurrentSince Jul 1, 2019 Accepting new patients
Athol Memorial Hospital Incorporated CurrentSince Apr 5, 2025 Accepting new patients
Straub Clinic & Hospital CurrentSince Jul 1, 2019 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince May 1, 2025 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Magnetic Imaging Affiliates, LLC Diagnostic Radiology CurrentSince Dec 29, 2025 Accepting new patients
Heywood Medical Group Inc. CurrentSince May 2, 2025 Accepting new patients
Solano Diagnostics Partners a Calif Limited Partnership Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Sep 1, 2017 Accepting new patients
TMC Radiology Cra LLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Dec 19, 2025 Accepting new patients
Heywood Medical Group Inc CurrentSince May 2, 2025 Accepting new patients
John Muir Trauma Physicians Billing Service Diagnostic Radiology CurrentSince Jan 13, 2026 Accepting new patients
Newton Wellesley Radiology Assoc Diagnostic Radiology Past Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Locations

1101 B Gale Wilson Blvd
Ste 100
Fairfield, CA 94533
Phone (707) 436-2600

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

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

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

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

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

1357 Kapiolani Blvd
Honolulu, HI 96814
Phone (614) 221-7773

1357 Kapiolani Blvd
Unit 48
Honolulu, HI 96814

1585 Kapiolani Blvd
Ste 1720
Honolulu, HI 96814

500 Ala Moana Blvd
Ste 7421
Honolulu, HI 96813

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285

315 W Wendover Ave
Greensboro, NC 27408
Phone (336) 273-0530

1814 Westchester Dr
Ste 100
High Point, NC 27262
Phone (336) 802-2397

Interoperability endpoints

  • Direct secure messaging: dkwon28738@tuftsmedicine.direct-ci.com
  • Direct secure messaging: dkwon753051@hisp.ehr.sutterhealth.org
  • FHIR API: https://api.platform.athenahealth.com/192/brand/1/csg/123/fhir/r4

Organizations & group practices 26

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

View all 26

Hospital & facility affiliations 7

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053385732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N ELM ST STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016304",
            "telephone_number": "336-274-9617",
            "fax_number": "336-482-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N ELM ST STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016304",
            "telephone_number": "336-274-9617",
            "fax_number": "336-482-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "DAVID",
        "middle_name": "SUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "154925",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2017-02106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "KWON",
            "middle_name": "SUNG",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.