Individual provider Active NPI

Minjeong Kwon, MD

  • Hospitalist Physician
  • Houston, TX
National Provider Identifier
1497288252
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
S5684 Issued in TX
Practice address
1701 Sunset Blvd
Houston, TX 77005-1798
Phone
(713) 526-5511
NPI assigned
Apr 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X S5684 TX Primary

Addresses

Primary practice location

1701 Sunset Blvd
Houston, TX 77005-1798

Mailing address

1701 Sunset Blvd
Houston, TX 77005-1798
Phone (713) 526-5511

Other practice location 1

6550 Fannin St # Sm1001
Houston Methodist Hospital
Houston, TX 77030-2717
Phone (713) 441-5114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200709001127 TX Practitioner - Internal MedicinePractitioner - Hospitalist 5496178485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
University of Miami, LM Miller School of Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1701 Sunset Blvd
Houston, TX 77005-1713

Hospital & facility affiliations

  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norman B Frankel Et Al PTR Medical Clinic of Houston CurrentSince Jun 20, 2022 Accepting new patients
Norman B Frankel Et Al PTR Medical Clinic of Houston Hospitalist CurrentSince Jun 20, 2022 Accepting new patients

Locations

1701 Sunset Blvd
Houston, TX 77005
Phone (713) 526-5511

Interoperability endpoints

  • Direct secure messaging: mkwon411256@direct.houstonmethodist.org

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 1

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": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1497288252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SUNSET BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051798",
            "telephone_number": "713-526-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SUNSET BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051798",
            "telephone_number": "713-526-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6550 Fannin St # Sm1001",
            "address_2": "Houston Methodist Hospital",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302717",
            "country_code": "US",
            "telephone_number": "713-441-5114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWON",
        "first_name": "MINJEONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-09",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "S5684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.