Katherine Westin Kwon, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

0101236883 Issued in VA

Practice address

3800 Hollywood Rd
Suite 104
Saint Joseph, MI 49085-8510

Phone

(269) 428-0819

Fax

(269) 428-0841

NPI assigned

May 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Nephrology

Education

Albert Einstein College of Medicine of Yeshiva University, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lake Michigan Nephrology LLCGroup PAC ID 2062511629, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresenius Medical Care at Benton Harbor Dialysis facility, Benton Harbor, MI, CCN 232688
• Liberty Dialysis at Lakeland - Niles Dialysis facility, Niles, MI, CCN 232668
• Usrc Watervliet Dialysis Dialysis facility, Watervliet, MI, CCN 232671
• Lakeland Hospital, St Joseph Hospital, St Joseph, MI, CCN 230021
• Corewell Health Watervliet Hospital Hospital, Watervliet, MI, CCN 230078

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

81.36

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kkwon1270425@epic00.shdirect.org
• Direct secure messaging: kkwon7500@lakeland.midirect.net

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.

• Lake Michigan Nephrology, L.L.C

  • Specialist
  • Saint Joseph, MI
  • NPI 1821201500
  Medicare reassignment Care Compare group
• LDBH LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Benton Harbor, MI
  • NPI 1407150279
  NPD (past)
• Liberty Dialysis - Lakeland LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Niles, MI
  • NPI 1760706378
  NPD (past)

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

• Dsi Watervliet, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Watervliet, MI
  • NPI 1649616681

  Dialysis facility

  Care Compare affiliation Name & address match
• LDBH LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Benton Harbor, MI
  • NPI 1407150279

  Dialysis facility

  Care Compare affiliation Name & address match
• Liberty Dialysis - Lakeland LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Niles, MI
  • NPI 1760706378

  Dialysis facility

  Care Compare affiliation Name & address match
• Lakeland Community Hospital Watervliet

  • General Acute Care Hospital
  • Watervliet, MI
  • NPI 1700994845
  Care Compare affiliation
• Lakeland Hospitals at Niles and St Joseph, Inc

  • General Acute Care Hospital
  • Saint Joseph, MI
  • NPI 1134220031
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891907770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOLLYWOOD RD",
            "address_2": "SUITE 104",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858510",
            "telephone_number": "269-428-0819",
            "fax_number": "269-428-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOLLYWOOD RD",
            "address_2": "SUITE 104",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858510",
            "telephone_number": "269-428-0819",
            "fax_number": "269-428-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "KATHERINE",
        "middle_name": "WESTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101236883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Kundan, NP
• Michelle Yumi Kuramochi, OTR/L
• Mark A Kuriata, D.O.
• De Ann K Kutzner, M.D.
• Ingrid Kwak, FNP
• Kyle L. Vonk DDS P.C.
• Samantha Labay, D.O.
• Lake House Counseling PLLC
• Lake Michigan Chiropractic, PLLC
• Lake Michigan Hand Center, PC

• Nephrology Physician in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.