Individual provider Active NPI

Youngchan Kwon

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1639632334
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101276732 Issued in TX
Practice address
1208 Woodland Ave Apt B
Austin, TX 78704-3617
Phone
(917) 789-3249
NPI assigned
Apr 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101276732 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1208 Woodland Ave Apt B
Austin, TX 78704-3617

Mailing address

1208 Woodland Ave Apt B
Austin, TX 78704-3617
Phone (917) 789-3249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, VA, TX, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20221027002134 KY Practitioner - Internal Medicine 9032446943 Reassigns benefits to 1 organization
I20230112000825 VA Practitioner - Internal Medicine 9032446943 Reassigns benefits to 1 organization
I20240610003875 TX Practitioner - Internal Medicine 9032446943 Reassigns benefits to 2 organizations
I20260604004074 CA Practitioner - Hospitalist 9032446943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipc Healthcare Services of Texas PLLCGroup PAC ID 3971824939, 184 clinicians

Practice addresses (Care Compare)

919 E 32ND St
Austin, TX 78705-2703
Phone (512) 544-4472

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101276732TXMDInternal Medicine Physician
V0789TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince May 5, 2024 Accepting new patients
Lonestar Pat Associates PA Internal Medicine CurrentSince May 5, 2024 Accepting new patients
St. David'S Healthcare Partnership, L.P., LLP Past Accepting new patients
DRH Medical Group Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

265 Brookview Centre Way
Ste 400
Knoxville, TN 37919
Phone (865) 293-5549

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

Organizations & group practices 6

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1639632334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 WOODLAND AVE APT B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043617",
            "telephone_number": "917-789-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 WOODLAND AVE APT B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043617",
            "telephone_number": "917-789-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "YOUNGCHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "0101276732",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.