Active NPI
Paul Kwon, DO
- Pediatrics Physician
- Ft Belvoir, VA
National Provider Identifier
1619902335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 02003055A
- Practice address
- 9300 Dewitt Loop
Ft Belvoir, VA 22060-5285 - Phone
- (240) 704-2064
- NPI assigned
- Jul 11, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 02003055A | IN | Primary |
Addresses
Primary practice location
9300 Dewitt Loop
Ft Belvoir, VA 22060-5285
Mailing address
9300 Dewitt Loop
Ft Belvoir, VA 22060-5285
Phone (571) 231-3224
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02003055A | Other | IN | MEDICAL LICENSE PHYSICIAN |
| 1619902335 | Other | IN | US MILITARY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02003055A | IN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1619902335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 DEWITT LOOP",
"city": "FT BELVOIR",
"state": "VA",
"postal_code": "220605285",
"telephone_number": "571-231-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 DEWITT LOOP",
"city": "FT BELVOIR",
"state": "VA",
"postal_code": "220605285",
"telephone_number": "240-704-2064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWON",
"first_name": "PAUL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "02003055A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE PHYSICIAN",
"identifier": "02003055A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US MILITARY",
"identifier": "1619902335",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ft Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.