Active NPI
Ohmin Kwon, MD
- Physical Medicine & Rehabilitation Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 67157
- Practice address
- 5652 E Baseline Rd
Mesa, AZ 85206-4713 - Phone
- (310) 970-4481
- Fax
- (948) 356-8192
- NPI assigned
- Apr 1, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 67157 | AZ | Primary |
Addresses
Primary practice location
5652 E Baseline Rd
Mesa, AZ 85206-4713
Mailing address
600 North Wolfe St
Phipps 160
Baltimore, MD 21287
Phone (410) 502-2447
Other practice location 1
600 North Wolfe St
Phipps 160
Baltimore, MD 21287
Phone (410) 502-2447
Other practice location 2
101 The City Dr S Ste 400
Orange, CA 92868-3201
Phone (714) 456-5691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5652 E Baseline Rd
Mesa, AZ 85206-4713
Phone (310) 970-4481
Hospital & facility affiliations
- Encompass Health Rehabilitation Hospital of East V
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67157 | AZ | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohmin Kwon MD PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| The Regents of the University of California-Irvine | Past | Accepting new patients |
Locations
5652 E Baseline Rd
Mesa, AZ 85206
Phone (480) 477-7112
1675 E Villa St
Phoenix, AZ 85006
Phone (480) 801-6700
24 W Camelback Rd
Ste A330
Phoenix, AZ 85013
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Mesa, AZ
- NPI 1740964170
-
- Hospitalist Physician
- Orange, CA
- NPI 1154479723
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Mesa, AZ
- NPI 1205076528
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1316409246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 NORTH WOLFE ST",
"address_2": "PHIPPS 160",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21287",
"telephone_number": "410-502-2447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5652 E BASELINE RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852064713",
"telephone_number": "310-970-4481",
"fax_number": "948-356-8192"
}
],
"practiceLocations": [
{
"address_1": "600 North Wolfe St",
"address_2": "Phipps 160",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "21287",
"country_code": "US",
"telephone_number": "410-502-2447",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 The City Dr S Ste 400",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928683201",
"country_code": "US",
"telephone_number": "714-456-5691",
"fax_number": "714-456-8874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KWON",
"first_name": "OHMIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-01",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "67157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.