CHRISTINE KWON (MD) – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1013414515

CHRISTINE KWON (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in FAMILY PRACTICE, HOSPICE/PALLIATIVE CARE. They hold the professional credentials MD. They hold a License No. A174551 (CA). The NPI Number for CHRISTINE KWON (MD) is 1013414515

Main info

Female
8 Years Of Experience
Name
CHRISTINE KWON (MD)
NPI
1013414515
Phone
(801) 581-7914
Address
375 S CHIPETA WAY STE A
Enumeration Date
11 April 2018
Last Update Date
25 February 2026

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9094699494
Graduation Year
2018 (8 years ago)
PAC ID
9234562091
Group Practice PAC ID
4284547522
Professional Enrollment ID
I20220330000979
Address ID
CA917673027PO1770XAVEX506
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness95
Years active:8State licenses:2Other names

1,136 FAMILY PRACTICE in UT

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Provider Addresses for CHRISTINE KWON (MD)

  • 375 S CHIPETA WAY STE A

    SALT LAKE CITY, UT 841081261

    Phone: (801) 581-7914

    Type: Mailing

  • 375, Chipeta Way, Research Park, Salt Lake City, Salt Lake County, Utah, 84108, United States

    SALT LAKE CITY, UT 841081260

    Phone: (801) 581-7914

    Type: Location

  • 1770 N ORANGE GROVE AVE STE 101

    POMONA, CA 917673027

    Phone: (909) 469-9494

    Fax: (909) 469-2120

    Type: Location

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: 2022-03-30

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
I20220330000979IFamily PracticeCATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10759$0
99213Established patient office or other outpatient visit, 20-29 minutes2623$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 84108)

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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: 4284547522View full group profile
NameSpecialtyState
Family PracticeCA
Family Practice, Geriatric MedicineCA
-CA
Family PracticeCA
Family Practice, Sports MedicineCA
-CA
Family Practice, Geriatric MedicineCA
Family PracticeCA
Family PracticeCA
-CA

Reviews

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Frequently asked questions

What identifier follows CHRISTINE KWON (MD) across health systems?
The NPI 1013414515 uniquely identifies CHRISTINE KWON (MD) in U.S. healthcare data.
Does the public listing show CHRISTINE KWON (MD) as active?
CHRISTINE KWON (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits CHRISTINE KWON (MD)?
NPPES ties CHRISTINE KWON (MD) to Hospice and Palliative Medicine (Family Medicine) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CHRISTINE KWON (MD)?
CHRISTINE KWON (MD) is associated with Salt Lake City, Utah in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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