Individual provider Active NPI

Young Woo Kim, M.D.

  • Neuroradiology Physician
  • Tripler Army Medical Center, HI
National Provider Identifier
1144218108
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
MD-13504 Issued in HI
Practice address
1 Jarrett White Rd
Department of Radiology
Tripler Army Medical Center, HI 96859-5001
Phone
(808) 433-6669
NPI assigned
Oct 12, 2005
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X DR.0061765 CO
Neuroradiology Physician 2085N0700X MD-13504 HI Primary
Diagnostic Radiology Physician 2085R0202X DR.0061765 CO
Diagnostic Radiology Physician 2085R0202X MD-13504 HI
Diagnostic Radiology Physician 2085R0202X ME161415 FL

Addresses

Primary practice location

1 Jarrett White Rd
Department of Radiology
Tripler Army Medical Center, HI 96859-5001

Mailing address

1 Jarrett White Rd Dept of
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-6669

Other identifiers 1

IdentifierTypeStateIssuer
ME161415OtherFLFLORIDA DEPARTMENT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CO, FL, TX, VA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20110623000199 HI Practitioner - Diagnostic Radiology 1658554555 Reassigns benefits to 3 organizations
I20190530002996 CO Practitioner - Diagnostic Radiology 1658554555 Reassigns benefits to 1 organization
I20230503002308 FL Practitioner - Diagnostic Radiology 1658554555 Reassigns benefits to 1 organization
I20231007000262 TX Practitioner - Diagnostic Radiology 1658554555
I20240604003145 VA Practitioner - Diagnostic Radiology 1658554555

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Diagnostic Radiology Services LLCGroup PAC ID 0547253221, 16 clinicians
Straub Clinic and HospitalGroup PAC ID 6305759754, 420 clinicians

Practice addresses (Care Compare)

2230 Liliha St
Suite 106
Honolulu, HI 96817-7357
Phone (809) 949-0091

888 S King St
Honolulu, HI 96813-3097
Phone (808) 522-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
67.55
Promoting interoperability
100
Improvement activities
40
Cost
78.18

Merit-based Incentive Payment System (MIPS)

Final score
70.96 of 100Reported as group
Quality
47.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME161415FLMDDiagnostic Radiology Physician
MD-13504HIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ultra Healthcare Services, Inc CurrentSince Jul 2, 2023 Accepting new patients
Straub Clinic & Hospital CurrentSince Oct 3, 2023 Accepting new patients
National Mobile X-Ray LLC CurrentSince Sep 1, 2018 Accepting new patients
American Health W LLC CurrentSince Feb 15, 2024 Accepting new patients
Hawaii Diagnostic Radiology Services LLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Straub Clinic & Hospital CurrentSince Oct 3, 2023 Accepting new patients
Kauai Veterans Memorial Hospital Current Accepting new patients
Kauai Veterans Memorial Hospital CurrentSince Feb 1, 2024 Accepting new patients
Radiology & Imaging Consultants PC Diagnostic Radiology CurrentSince May 8, 2019 Accepting new patients
Rapid Radiology, Inc. Neuroradiology CurrentSince Aug 13, 2020 Accepting new patients
Vuepoint Diagnostics LLC CurrentSince Sep 14, 2026 Accepting new patients
Bakorp LLC CurrentSince Jun 30, 2026 Accepting new patients
Suntree Endocrinology Current Accepting new patients
Suntree Internal Medicine, LLC. Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Portable Medical Diagnostics, Inc CurrentSince Nov 17, 2025 Accepting new patients
Eagleeye Radiology, Inc Diagnostic Radiology Past Accepting new patients

Locations

555 Washington St
San Diego, CA 92103
Phone (619) 260-8300

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

5190 SW 8th St
Coral Gables, FL 33134
Phone (305) 448-1585

1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142

801 Oak St
Green Cv Spgs, FL 32043
Phone (904) 215-7015

6619 N Wickham Rd
Melbourne, FL 32940
Phone (321) 259-9500

765 W Nasa Blvd
Melbourne, FL 32901
Phone (321) 409-4044

3060 Melaleuca Ln
Palm Springs, FL 33461
Phone (561) 357-7200

5555 W Blue Heron Blvd
Riviera Beach, FL 33418
Phone (561) 659-1000

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

4801 N Howard Ave
Tampa, FL 33603
Phone (727) 581-4800

2228 Liliha St
Ste 305
Honolulu, HI 96817
Phone (808) 521-4344

2230 Liliha St
Ste 106
Honolulu, HI 96817
Phone (808) 949-0091

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

3698 620 S
Ste 110
Austin, TX 78738

4929 Burney Dr
Ste 120
Corpus Christi, TX 78411
Phone (512) 673-7552

3500 Gaston Ave
Dallas, TX 75246

815 8th Ave
Ft Worth, TX 76104
Phone (817) 332-4812

205 Hollow Tree Ln
Houston, TX 77090
Phone (713) 807-8686

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

2121 Lohmans Crossing Rd
Lakeway, TX 78734
Phone (980) 202-5227

2121 Lohmans Crossing Rd
Ste 504
Lakeway, TX 78734
Phone (469) 420-0707

350 Blossom St
Webster, TX 77598
Phone (281) 316-7800

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

Interoperability endpoints

  • Direct secure messaging: young.kim.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1144218108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD DEPT OF",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "middle_name": "WOO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CO",
            "license": "DR.0061765",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "HI",
            "license": "MD-13504",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0061765",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD-13504",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME161415",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "ME161415",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tripler Army Medical Center, HI

Sources for this page

Verify at the official NPI Registry.