Individual provider Active NPI

Robert Choi Kwun, MD

  • Retina Specialist (Ophthalmology) Physician
  • Salt Lake City, UT
National Provider Identifier
1457338162
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
3082804-1205 Issued in UT
Practice address
5169 Cottonwood St Ste 630
Salt Lake City, UT 84107-6771
Phone
(801) 281-3030
Fax
(801) 281-3033
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 3082804-1205 UT
Retina Specialist (Ophthalmology) Physician 207WX0107X 3082804-1205 UT Primary

Addresses

Primary practice location

5169 Cottonwood St Ste 630
Salt Lake City, UT 84107-6771

Mailing address

5169 Cottonwood St Ste 630
Salt Lake City, UT 84107-6771
Phone (801) 281-3030

Other identifiers 4

IdentifierTypeStateIssuer
870525682OtherTAX ID #
115013800MedicaidWY
180040257OtherRAILROAD MEDICARE
805762700MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20040110000155 UT Practitioner - OphthalmologyPractitioner - Other (Physician) 1052211638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Associates of Utah PCGroup PAC ID 0244130821, 9 clinicians

Practice addresses (Care Compare)

5169 S Cottonwood St
Suite 630
Murray, UT 84107-6771
Phone (801) 312-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.8 of 100Reported as group
Quality
97.61
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3082804-1205UTMDOphthalmology Physician

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 and National Provider Directory roles.

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1457338162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5169 COTTONWOOD ST STE 630",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841076771",
            "telephone_number": "801-281-3030",
            "fax_number": "801-281-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5169 COTTONWOOD ST STE 630",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841076771",
            "telephone_number": "801-281-3030",
            "fax_number": "801-281-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWUN",
        "first_name": "ROBERT",
        "middle_name": "CHOI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "3082804-1205",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "UT",
            "license": "3082804-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "870525682",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115013800",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180040257",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805762700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.