JONG KWON DAVIS (MD) – Gastroenterology Physician, NPI 1689733271
Gastroenterology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,474 GASTROENTEROLOGY in FL
Provider Addresses for JONG KWON DAVIS (MD)
1370 E VENICE AVE STE 210
VENICE, FL 342859084
Phone: (941) 584-6272
Type: Location
Kaiser Permanente Woodland Hills Medical Center, 5601, De Soto Avenue, Warner Center, Los Angeles, Los Angeles County, California, 91365, United States
WOODLAND HILLS, CA 913676701
Phone: (818) 719-2000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-08-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050107000401 | I | Gastroenterology | GA | TBD |
| I20051118000173 | I | Internal Medicine | CA | TBD |
| I20240829002913 | I | Gastroenterology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34285)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| P A T H O L O G Y | FL |
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