Individual provider Active NPI

Hyun Sil Kim, MD

  • Gastroenterology Physician
  • San Diego, CA
National Provider Identifier
1013023365
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G85388 Issued in CA
Practice address
8008 Frost St
Ste 200
San Diego, CA 92123-4205
Phone
(858) 292-7527
Fax
(858) 292-7804
NPI assigned
Aug 21, 2006
Last updated
Jan 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G85388 CA Primary

Addresses

Primary practice location

8008 Frost St
Ste 200
San Diego, CA 92123-4205

Mailing address

8008 Frost St
Ste 200
San Diego, CA 92123-4205
Phone (858) 292-7527

Other practice location 1

15611 Pomerado Rd Ste 500
Poway, CA 92064-2438
Phone (858) 487-2121

Other identifiers 1

IdentifierTypeStateIssuer
GR0027570MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050126000639 CA Practitioner - Gastroenterology 0648220707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Albany Medical College of Union University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

8008 Frost St
Suite 200
San Diego, CA 92123-4207
Phone (858) 292-7527

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.56 of 100Reported as individual
Quality
90.39
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy186
Upper gastrointestinal (GI) endoscopy for acid reflux128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G85388CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Digestive Disease Consultants, Inc. a Medical Group Gastroenterology CurrentSince Feb 1, 2005 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 1, 2007 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Palomar Health Past Accepting new patients
Nancy R. Kollisch, M.D., Inc. PastSince Feb 1, 2005 Accepting new patients

Locations

15611 Pomerado Rd
Ste 500
Poway, CA 92064
Phone (858) 292-7527

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

8008 Frost St
Ste 200
San Diego, CA 92123
Phone (858) 292-7527

Interoperability endpoints

  • Direct secure messaging: hkim34094@sharphealthcare.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1013023365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 FROST ST",
            "address_2": "STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234205",
            "telephone_number": "858-292-7527",
            "fax_number": "858-292-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 FROST ST",
            "address_2": "STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234205",
            "telephone_number": "858-292-7527",
            "fax_number": "858-292-7804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15611 Pomerado Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642438",
            "country_code": "US",
            "telephone_number": "858-487-2121",
            "fax_number": "858-487-3321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYUN",
        "middle_name": "SIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G85388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0027570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.