DR. CHRISTINA ANN KWONG (MD, PHD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1609119767

DR. CHRISTINA ANN KWONG (MD, PHD) is a healthcare provider. based in Salt lake city, Utah. specializing in PATHOLOGY. They hold the professional credentials MD, PHD. They hold a License No. M-14492 (ID). The NPI Number for DR. CHRISTINA ANN KWONG (MD, PHD) is 1609119767

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRISTINA ANN KWONG (MD, PHD)
NPI
1609119767
Phone
(801) 583-2787
Address
500 S CHIPETA WAY # MS 115
Enumeration Date
27 March 2013
Last Update Date
9 December 2025

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
5098922700
Graduation Year
2013 (13 years ago)
PAC ID
0446551014
Group Practice PAC ID
9638067945
Professional Enrollment ID
I20241203001253
Address ID
MT598024096MI500XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness85
Years active:13State licenses:7Digital endpointsOther names

369 PATHOLOGY in WA

Provider Addresses for DR. CHRISTINA ANN KWONG (MD, PHD)

  • 500 S CHIPETA WAY # MS 115

    SALT LAKE CITY, UT 841081221

    Phone: (801) 583-2787

    Fax: (801) 584-5207

    Type: Mailing

  • PO BOX 3405

    SPOKANE, WA 992203405

    Phone: (509) 892-2700

    Fax: (509) 342-2743

    Type: Mailing

  • 13103 E MANSFIELD AVE

    SPOKANE VALLEY, WA 992161642

    Phone: (509) 892-2700

    Fax: (509) 892-2740

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Abbott Laboratories ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$29
View all Open Payments →|Open Payments Risk Radar →

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: 2024-12-03

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190218002600IPathologyWATBD
I20190218002713IPathologyIDTBD
I20241203001253IPathologyMTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

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: 9638067945View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. CHRISTINA ANN KWONG (MD, PHD)?
The federal identifier for DR. CHRISTINA ANN KWONG (MD, PHD) is NPI 1609119767.
Is DR. CHRISTINA ANN KWONG (MD, PHD) active in the national directory?
DR. CHRISTINA ANN KWONG (MD, PHD)'s public NPI profile is in an active state.
Does DR. CHRISTINA ANN KWONG (MD, PHD) list a primary specialty?
If you are matching referrals, note Anatomic Pathology & Clinical Pathology Physician for DR. CHRISTINA ANN KWONG (MD, PHD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. CHRISTINA ANN KWONG (MD, PHD)?
The snapshot lists Salt Lake City, Utah for DR. CHRISTINA ANN KWONG (MD, PHD); download NPPES for the complete set.
What if Salt Lake City, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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