Individual provider Active NPI

Oki Kwon, M.D.

  • Internal Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1952495954
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0030927 Issued in MD
Practice address
10313 Georgia Ave
Suite 209
Silver Spring, MD 20902-5006
Phone
(301) 681-9781
Fax
(301) 681-9780
NPI assigned
Oct 3, 2006
Last updated
Nov 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0030927 MD Primary

Addresses

Primary practice location

10313 Georgia Ave
Suite 209
Silver Spring, MD 20902-5006

Mailing address

10313 Georgia Ave
Suite 209
Silver Spring, MD 20902-5006
Phone (301) 681-9781

Other identifiers 15

IdentifierTypeStateIssuer
361081100MedicaidMD
025903OtherMDHEALTH KEEPERS
05497011OtherMDUNITED MID ATLANTIC
024678OtherMDAETNA HMO
9212OtherMDKAISER
00652OtherDCG.W.U. HEALTH PLAN
26667OtherMDEHP HEALTHCARE
5369OtherMDCAREFIRST BC BS OF MD
80132OtherMDALLIANCE PPO
101047OtherMDUNITED HEALTHCARE
4131819OtherMDAETNA PPO
10201150OtherMDCIGNA HEALTH CARE
30927OtherMDWASHINGTON HEALTHNET
70260001OtherDCBC BS OF NCA
80132OtherMDMDIPA AND OPTIMUM CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100707000335 DC Practitioner - Internal Medicine 5294866398 Practice locations: Silver Spring, MD
I20250415002776 MD Practitioner - Internal Medicine 5294866398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10313 Georgia Ave
Suite 209
Silver Spring, MD 20902-5006
Phone (301) 681-9781

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0030927MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin S. Lee, M.D., P.a. Multi-Specialty CurrentSince Jan 27, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

700 Geipe Rd
Ste 204
Catonsville, MD 21228
Phone (410) 744-7184

10313 Georgia Ave
Ste 209
Silver Spring, MD 20902
Phone (301) 681-8000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1952495954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE",
            "address_2": "SUITE 209",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-681-9781",
            "fax_number": "301-681-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE",
            "address_2": "SUITE 209",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-681-9781",
            "fax_number": "301-681-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "OKI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0030927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361081100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH KEEPERS",
            "identifier": "025903",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MID ATLANTIC",
            "identifier": "05497011",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "024678",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "9212",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G.W.U. HEALTH PLAN",
            "identifier": "00652",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EHP HEALTHCARE",
            "identifier": "26667",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC BS OF MD",
            "identifier": "5369",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE PPO",
            "identifier": "80132",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "101047",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4131819",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH CARE",
            "identifier": "10201150",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON HEALTHNET",
            "identifier": "30927",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF NCA",
            "identifier": "70260001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA AND OPTIMUM CHOICE",
            "identifier": "80132",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.