NPIMap

Individual provider Active NPI

Christopher Kwan Hwang, MD

  • Ophthalmology Physician
  • Saint Louis, MO
National Provider Identifier
1477973113
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2020014796 Issued in MO
Practice address
517 S Euclid Ave
Dept Opthalmology, 1St FL
Saint Louis, MO 63110-1007
Phone
(314) 362-3431
Fax
(314) 362-6564
NPI assigned
Apr 21, 2014
Sex
Male
Sole proprietor
No

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 23

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

View all 23

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Emory University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitreoretinal Surgery PLLC 23 clinicians

Practice addresses (Care Compare)

3601 W 76TH St
Suite 300
Minneapolis, MN 55435-3004
Phone (952) 929-1131

Hospital & facility affiliations

  • Abbott Northwestern Hospital Hospital, Minneapolis, MN, CCN 240057

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20220906002895 MN Practitioner - Ophthalmology 4688891856 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitreoretinal Surgery PLLC Ophthalmology CurrentSince Aug 8, 2022 Accepting new patients

Locations

3601 W 76th St
Fl 3
Edina, MN 55435

3601 W 76th St
Ste 300
Minneapolis, MN 55435
Phone (952) 897-1175

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2020014796 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

517 S Euclid Ave
Dept Opthalmology, 1St FL
Saint Louis, MO 63110-1007

Mailing address

660 S Euclid Ave
CB 8096
Saint Louis, MO 63110-1010
Phone (314) 362-3937

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
200084479MedicaidMO

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2021.

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1477973113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "CB 8096",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-3937",
            "fax_number": "314-362-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 S EUCLID AVE",
            "address_2": "DEPT OPTHALMOLOGY, 1ST FL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101007",
            "telephone_number": "314-362-3431",
            "fax_number": "314-362-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "CHRISTOPHER",
        "middle_name": "KWAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2021-11-15",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2020014796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200084479",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "517 S Euclid Ave",
            "address_2": "Dept Opthalmology, 1st Fl",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.