Individual provider Active NPI

Annette Y. Kwon, MD

  • Gastroenterology Physician
  • San Francisco, CA
National Provider Identifier
1417009630
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A90599 Issued in CA
Practice address
2100 Webster St
Suite 423
San Francisco, CA 94115-2373
Phone
(415) 923-3050
Fax
(415) 563-4867
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A90599 CA
Gastroenterology Physician 207RG0100X A90599 CA Primary

Addresses

Primary practice location

2100 Webster St
Suite 423
San Francisco, CA 94115-2373

Mailing address

2100 Webster St
Suite 423
San Francisco, CA 94115-2373
Phone (415) 923-3050

Other identifiers 1

IdentifierTypeStateIssuer
00A905990MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20051229000791 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 0547282816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Johns Hopkins University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Internal Medicine AssociatesGroup PAC ID 5890742167, 5 clinicians

Practice addresses (Care Compare)

2100 Webster St
Suite 423
San Francisco, CA 94115-2380
Phone (415) 923-3878

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.04 of 100Reported as individual
Quality
57
Promoting interoperability
100
Improvement activities
40
Cost
86.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy265
Upper gastrointestinal (GI) endoscopy for acid reflux136

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90599CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Physician Network Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 4

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1417009630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 423",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-923-3050",
            "fax_number": "415-563-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 423",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-923-3050",
            "fax_number": "415-563-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "ANNETTE",
        "middle_name": "Y.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A90599",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A90599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A905990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.