OKAP KWON (MD) – Internal Medicine Physician, NPI 1124050968

OKAP KWON (MD) is a healthcare provider. based in Ravenna, Ohio. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 35040512 (OH). The NPI Number for OKAP KWON (MD) is 1124050968

Main info

Male
55 Years Of Experience
Name
OKAP KWON (MD)
NPI
1124050968
Phone
(330) 296-3483
Address
964 E MAIN ST
Enumeration Date
6 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1971 (55 years ago)
PAC ID
3971792409
Professional Enrollment ID
I20110113000797
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for OKAP KWON (MD)

  • 964, East Main Street, East Main Street Historic District, Ravenna, Portage County, Ohio, 44266, United States

    RAVENNA, OH 442663326

    Phone: (330) 296-3483

    Fax: (330) 296-0756

    Mailing address matches the actual address.

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: 2011-01-13

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
I20110113000797IInternal MedicineOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6433$0
99214Established patient office or other outpatient visit, 30-39 minutes3826$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 44266)

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Reviews

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Frequently asked questions

What NPI should I save for OKAP KWON (MD)?
Save NPI 1124050968 if you need a stable reference for OKAP KWON (MD).
Is OKAP KWON (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize OKAP KWON (MD)'s specialty in plain language?
Clinically, the directory lists OKAP KWON (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does OKAP KWON (MD) practice in Ohio?
You will see Ravenna, Ohio on file for OKAP KWON (MD) alongside any extra practice locations.
Is OKAP KWON (MD) a real provider?
This page reflects official NPPES data for NPI 1124050968. Always confirm identity and privileges with the practice and licensing boards.

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