Individual provider Active NPI

Jonathan Keewing Kwan, M.D.

  • Anesthesiology Physician
  • Irving, TX
National Provider Identifier
1093007700
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
Q4170 Issued in TX
Practice address
4301 N Macarthur Blvd
Suite 101 (972) 255-5588
Irving, TX 75038-6497
Phone
(972) 855-5588
NPI assigned
May 12, 2011
Last updated
Jun 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Q4170 TX Primary

Addresses

Primary practice location

4301 N Macarthur Blvd
Suite 101 (972) 255-5588
Irving, TX 75038-6497

Mailing address

11834 Moss Branch Rd
Houston, TX 77043-1109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150811003708 TX Practitioner - Anesthesiology 6305151069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical Branch at Galveston, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allen Anesthesia AssociatesGroup PAC ID 2264477140, 94 clinicians

Practice addresses (Care Compare)

3901 W 15TH St
Medical City Plano
Plano, TX 75075-7738
Phone (972) 596-6800

4401 Coit Rd
Suite 100
Frisco, TX 75035-0501
Phone (214) 619-0120

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Anesthesia Associates CurrentSince Dec 1, 2017 Accepting new patients

Locations

1105 Central Expy N
Ste 210
Allen, TX 75013
Phone (972) 747-4646

906 W McDermott Dr
Allen, TX 75013
Phone (918) 812-4755

4401 Coit Rd
Ste 100
Frisco, TX 75035
Phone (214) 619-0120

4510 Medical Center Dr
Ste 211
McKinney, TX 75069
Phone (469) 541-1600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1093007700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11834 MOSS BRANCH RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770431109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N MACARTHUR BLVD",
            "address_2": "SUITE 101 (972) 255-5588",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386497",
            "telephone_number": "972-855-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "JONATHAN",
        "middle_name": "KEEWING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q4170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.