E. Edmund Kim, M.D.

Primary specialty

Nuclear Radiology PhysicianTaxonomy code 2085N0904X

License

G0448 Issued in TX

Practice address

16100 Sand Canyon Ave Ste 130
Irvine, CA 92618-3722

Phone

(713) 792-3008

Fax

(713) 792-4580

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Diagnostic RadiologyAlso: Nuclear Medicine

Education

Other, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Cancer Center Imaging Inc.

  • Radiology Clinic/Center
  • Irvine, CA
  • NPI 1275838336
  Medicare reassignment NPD
• Riiid Medical Group Irvine Inc

  • Psychiatry Physician
  • Irvine, CA
  • NPI 1437770468
  NPD (past)
• Ut MD Anderson Cancer Center

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1952521189
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1235222902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE",
            "address_2": "STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183721",
            "telephone_number": "713-792-3008",
            "fax_number": "713-792-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE STE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183722",
            "telephone_number": "713-792-3008",
            "fax_number": "713-792-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "E.",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "TX",
            "license": "G0448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124031901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "800323",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Jihae Kim, D.D.S.
• Crystal Kim
• Dae Kim, PHARM D
• Danny Kim
• David H Kim, D.D.S.
• Elaine Doyoung Kim, D.D.S.
• Ellen Junghee Kim, LCSW
• Eric Kim, M.D., D.D.S.
• Erin H Kim, AMFT
• Ethan Joshua Kim

• Nuclear Radiology Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Nuclear Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.

Verify at the official NPI Registry.