KI SEOK WON (MD) – Internal Medicine Physician, NPI 1164048179

KI SEOK WON (MD) is a healthcare provider. based in Evanston, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 01089065A (IN). The NPI Number for KI SEOK WON (MD) is 1164048179

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
KI SEOK WON (MD)
NPI
1164048179
Phone
(224) 307-0929
Address
1620 CENTRAL ST APT 302
Enumeration Date
25 June 2020
Last Update Date
26 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5743642510
Graduation Year
2015 (11 years ago)
PAC ID
4082089776
Group Practice PAC ID
8729155742
Professional Enrollment ID
I20230411002338
Address ID
IN465264810GO200XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for KI SEOK WON (MD)

  • 1620 CENTRAL ST APT 302

    EVANSTON, IL 602011599

    Phone: (224) 307-0929

    Type: Mailing

  • 355 RIDGE AVE

    EVANSTON, IL 602023328

    Phone: (847) 316-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2023-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230411002338IInternal MedicineINTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes260100$0
99239Hospital discharge day management, more than 30 minutes9087$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4241$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 60201)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729155742View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineIN
Nurse PractitionerIN
Physician AssistantIN
-NV
Internal MedicineIN
Hospitalist, Internal Medicine, Internal MedicineNY
Internal MedicineIN
Internal Medicine, HospitalistPA
Nurse PractitionerWA
-NJ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to KI SEOK WON (MD)?
NPI 1164048179 is assigned to KI SEOK WON (MD) under the national enumeration system.
Is KI SEOK WON (MD)'s NPI currently valid?
The extract we use shows KI SEOK WON (MD) as active.
Does KI SEOK WON (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for KI SEOK WON (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for KI SEOK WON (MD)?
The page summarizes Evanston, Illinois for KI SEOK WON (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

THOMAS J CAMPBELL (MD)

Internal Medicine Physician
800, Austin Street, Evanston, Evanston Township, Cook County, Illinois, 60202, United States
NPI: 1972506665

ALEKSANDRA RAYKHER (M.D.)

Internal Medicine Physician
2650 RIDGE AVE STE 1223
NPI: 1437158151

DR. JOHN NICHOLAS KIRIKLAKIS (M.D.)

Internal Medicine Physician
Evanston Hospital, 2650, Ridge Avenue, Evanston, Evanston Township, Cook County, Illinois, 60201, United States
NPI: 1730189713

DR. MERLE L DIAMOND (MD)

Internal Medicine Physician
North Halsted Street, Mid-North District, Lincoln Park, Chicago, Cook County, Illinois, 60614, United States
NPI: 1780676668

MANOJ KUMAR MEHTA (MD)

Gastroenterology Physician
1732 CENTRAL ST
NPI: 1962495200

DR. LISA REEDER (MD)

Internal Medicine Physician
Searle Hall, 633, Emerson Street, Downtown, Evanston, Evanston Township, Cook County, Illinois, 60208, United States
NPI: 1952395659

DR. LIZA GAYE ICAYAN (M.D.)

Internal Medicine Physician
141, Sterling Lane, Wilmette, New Trier Township, Cook County, Illinois, 60091, United States
NPI: 1316922529

JOHN ALEXANDER (MD)

Internal Medicine Physician
733, MacLean Avenue, Kenilworth, New Trier Township, Cook County, Illinois, 60043, United States
NPI: 1336126176

DR. CHARLES A. III THORSEN (M.D.)

Internal Medicine Physician
909, Davis Street, Downtown, Evanston, Evanston Township, Cook County, Illinois, 60201, United States
NPI: 1578540985