NPIMap

Individual provider Active NPI

Herbert Peter Kwon, M.D.

  • Pulmonary Disease Physician
  • Tacoma, WA
National Provider Identifier
1205873668
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD60583622 Issued in WA
Practice address
9040A Jackson Ave Madigan - Dept of Medicine
Tacoma, WA 98431-0001
Phone
(253) 968-1290
NPI assigned
Jun 2, 2006
Last updated
Feb 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD60583622 WA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MC-1747 ID
Pulmonary Disease Physician 207RP1001X MD60583622 WA Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD60583622 WA

Addresses

Primary practice location

9040A Jackson Ave Madigan - Dept of Medicine
Tacoma, WA 98431-0001

Mailing address

201 16TH Ave E
Seattle, WA 98112-5226
Phone (206) 326-3000

Other practice location 1

3851 Roger Brooke Dr
DoMedicine- Pulmonary
Fort Sam Houston, TX 78234-4501
Phone (210) 916-2729

Other practice location 2

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

Other practice location 3

201 16th Ave E
Seattle, WA 98112-5226
Phone (206) 326-3000

Other practice location 4

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 302-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160113002376 WA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 5193979748 Reassigns benefits to 2 organizations
I20220929001363 WI Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 5193979748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Uniformed Services Uhs Fe Hebert School of Med, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Critical Care SCGroup PAC ID 4486026804, 49 clinicians
Aspirus Wausau Hospital IncGroup PAC ID 6406757442, 242 clinicians

Practice addresses (Care Compare)

19475 W N Ave
Brookfield, WI 53045-4199
Phone (414) 453-7418

209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone (253) 596-3300

425 Pine Ridge Blvd
Suite 200
Wausau, WI 54401-4123
Phone (715) 847-2480

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MC-1747IDMDCritical Care Medicine (Internal Medicine) Physician
MD60583622WAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Critical Care SC Critical Care Medicine CurrentSince Jul 1, 2023 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Oct 17, 2022 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jan 27, 2020 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jan 27, 2020 Accepting new patients
Capital Medical Center Specialty Physicians, LLC CurrentSince Feb 1, 2016 Accepting new patients
Aspirus Wausau Hospital, Inc. Internal Medicine Current Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Oct 17, 2022 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

201 16th Ave E
Seattle, WA 98112
Phone (206) 326-4545

209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

19475 W North Ave
Brookfield, WI 53045
Phone (262) 780-4236

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

3803 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-3973

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

425 Pine Ridge Blvd
Ste 200
Wausau, WI 54401
Phone (715) 847-0075

Interoperability endpoints

  • Direct secure messaging: hkwon189930@direct.aspirus.org
  • Direct secure messaging: hkwon236701@ghc.direct-ci.net

Organizations & group practices 7

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1205873668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 16TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981125226",
            "telephone_number": "206-326-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040A JACKSON AVE MADIGAN - DEPT OF MEDICINE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-1290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3851 Roger Brooke Dr",
            "address_2": "DoMedicine- Pulmonary",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344501",
            "country_code": "US",
            "telephone_number": "210-916-2729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 Capital Mall Dr SW",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "98502",
            "country_code": "US",
            "telephone_number": "360-704-4743",
            "fax_number": "360-704-4751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 16th Ave E",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981125226",
            "country_code": "US",
            "telephone_number": "206-326-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 N Curtis Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837061309",
            "country_code": "US",
            "telephone_number": "208-302-2000",
            "fax_number": "208-302-2055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWON",
        "first_name": "HERBERT",
        "middle_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WA",
            "license": "MD60583622",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "ID",
            "license": "MC-1747",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD60583622",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WA",
            "license": "MD60583622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
            "affiliation": "N",
            "endpointDescription": "C-CDA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "201 16th Ave E",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981125226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.