Thomas Kim
Individual provider Active NPI Orthopaedic Hand Surgery Physician · Fremont, CA
NPI 1003105032 · NPPES record last updated Dec 10, 2020
Key facts
- NPI
- 1003105032
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Hand Surgery Physician 207XS0106X
- License
- A149934 (CA)
- Practice address
- 3200 Kearney St
Fremont, CA 94538-2299 - Phone
- (510) 490-1222
- NPI assigned
- Mar 30, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 28
Medicare Care Compare profile
- Specialty
- Hand Surgery
- Education
- Georgetown University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sutter Bay Medical Foundation
Practice addresses (Care Compare)
3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171010001578 | CA | Practitioner - Hand Surgery |
6709034481 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9445 | MD | MD | General Practice Dentistry |
| A149934 | CA | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| California Orthopedics & Spine Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| California Orthopedics & Spine Inc | Orthopaedic Surgery | Current |
Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| California Orthopedics & Spine Inc | Orthopaedic Surgery | Current |
Accepting new patients |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients | |
| Marin General Hospital | Past | Accepting new patients | |
| Washington Township Hospital District | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients |
Locations
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
4000 Dublin Blvd
Dublin, CA 94568
Phone (510) 498-2374
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
3120 Kearney St
Fremont, CA 94538
Phone (650) 498-3600
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
2 Bon Air Rd
Ste 120
Larkspur, CA 94939
Phone (415) 496-2812
18 Bon Air Rd
Larkspur, CA 94939
Phone (415) 927-5300
715 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 934-7010
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
701 E El Camino Real
#1
Mountain View, CA 94040
Phone (650) 404-8440
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
7100 Redwood Blvd
Ste 200
Novato, CA 94945
Phone (415) 492-1600
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
301 Industrial Rd
#1
San Carlos, CA 94070
Phone (650) 404-8455
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
2581 Samaritan Dr
Ste 308
San Jose, CA 95124
Phone (408) 355-1700
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- tkim133129@direct.whhs.com
- tkim383611@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 9445 | MD | |
| Orthopaedic Surgery Physician | 207X00000X | MD15416 | RI | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | A149934 | CA | Yes |
Addresses
Primary practice location
3200 Kearney St
Fremont, CA 94538-2299
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (510) 490-1222
Other practice location 1
2 Dudley St
Suite 200
Providence, RI 02905-3236
Phone (401) 457-2168
Other practice location 2
18 Bon Air Rd
Larkspur, CA 94939-1123
Phone (415) 927-5300
Other providers in Fremont, CA
- Sainte Elan Jae Hyun Kim
- Sang Eun Kim
- Seanna Kim
- Suejin Kim
- Sung Yean Kim
- Conrad Kimball
- Dana Kimbar
- Steven Earl Kimura
- Kind Minds Bloom Speech Therapy, Inc.
- Emily King
All providers in Fremont, CA · Orthopaedic Hand Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.