Active NPI
Donna Hyunchung Kim, MD
- Ophthalmology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD152819
- Practice address
- 3303 SW Bond Avenue
Casey Eye Physicians and Surgeons, Ohsu, 11TH Floor
Portland, OR 97239-4501 - Phone
- (503) 494-3000
- NPI assigned
- Aug 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD152819 | OR | Primary |
Addresses
Primary practice location
3303 SW Bond Avenue
Casey Eye Physicians and Surgeons, Ohsu, 11TH Floor
Portland, OR 97239-4501
Mailing address
3303 SW Bond Avenue
Casey Eye Physicians and Surgeons, Ohsu, 11TH Floor
Portland, OR 97239
Phone (503) 494-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Stanford University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD152819 | OR | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Professional Services | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| University Professional Services | Past | Accepting new patients |
Locations
2055 Exchange St
Ste 230
Astoria, OR 97103
Phone (503) 338-3803
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
3303 S Bond Ave
Fl 11
Portland, OR 97239
Phone (503) 418-1430
312 SE Stonemill Dr
Ste 150
Vancouver, WA 98684
Phone (360) 254-2323
Interoperability endpoints
- dkimmd578@direct.ohsu.edu
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
dba OHSU Avel Gordly Center for Healing
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, OR
- NPI 1316354970
-
dba University Professional Services in Medford
- Pediatrics Physician
- Medford, OR
- NPI 1225282122
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1073769592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 SW BOND AVENUE",
"address_2": "CASEY EYE PHYSICIANS AND SURGEONS, OHSU, 11TH FLOOR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "503-494-3000",
"fax_number": "503-418-0049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 SW BOND AVENUE",
"address_2": "CASEY EYE PHYSICIANS AND SURGEONS, OHSU, 11TH FLOOR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394501",
"telephone_number": "503-494-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DONNA",
"middle_name": "HYUNCHUNG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-15",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OR",
"license": "MD152819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.