Active NPI
Yong Kyong Kwon, M.D.
- Transplant Surgery Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- License
- MD61401563
- Practice address
- 1959 NE Pacific St.
Seattle, WA 98195-0001 - Phone
- (206) 205-0005
- NPI assigned
- Jun 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | MD61401563 | WA | Primary |
| Surgery Physician | 208600000X | MD61401563 | WA |
Addresses
Primary practice location
1959 NE Pacific St.
Seattle, WA 98195-0001
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6201 Harry Hines Blvd
Dallas, TX 75235-5202
Phone (214) 633-5555
Hospital & facility affiliations
- Childrens Medical Ctr of Dallas
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61401563 | WA | MD | Transplant Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Surgery | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| The Association of Chrmc and University Physicians | Surgery | Current | Accepting new patients |
| Association of CHMC and University Physicians | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Children'S Hospital Los Angeles Medical Group, Inc. | Current | Accepting new patients | |
| Keck Medical Center of Usc | Past | Accepting new patients |
Locations
1516 San Pablo St
Los Angeles, CA 90033
Phone (323) 276-3705
4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122
1516 San Pablo St
Fl 2
Los Angeles, CA 90033
Phone (323) 276-3704
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563
1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735
6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- ykwon698415@direct.childrens.com
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Pediatrics Physician
- Seattle, WA
- NPI 1255449963
Surgery
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1265530653
-
- Pediatrics Physician
- Richland, WA
- NPI 1851680664
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Vascular Surgery Physician
- Dallas, TX
- NPI 1134173966
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- Rehabilitation Hospital Unit
- Los Angeles, CA
- NPI 1750988770
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Dallas, TX
- NPI 1194743013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1295996205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST.",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001",
"telephone_number": "206-205-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWON",
"first_name": "YONG",
"middle_name": "KYONG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-23",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "WA",
"license": "MD61401563",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD61401563",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.