Nicholas Youngrae Kim, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

A52615 Issued in CA

Practice address

3010 W Orange Ave
#409
Anaheim, CA 92804-3169

Phone

(714) 484-3781

Fax

(714) 484-3852

NPI assigned

Oct 10, 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 1

Other names 1

• Dr. Young Rae Kim Former name

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

Internal MedicineAlso: Rheumatology

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ace Home Health, Inc. Home health agency, Los Angeles, CA, CCN 058082
• Western Home Care, Inc Home health agency, Buena Park, CA, CCN 058077

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

79.32

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Kim Youngrae Medical, Inc

  • Rheumatology Physician
  • Buena Park, CA
  • NPI 1275242083

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Omega, Inc.

  • Occupational Therapist
  • Gardena, CA
  • NPI 1790332534
  NPD (past)

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

• Ace Home Health, Inc.

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1205808326
  Care Compare affiliation
• Western Home Care, Inc.

  • Home Health Agency
  • Buena Park, CA
  • NPI 1578581518
  Care Compare affiliation

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1235227760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 W ORANGE AVE",
            "address_2": "#409",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043173",
            "telephone_number": "714-484-3781",
            "fax_number": "714-484-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 W ORANGE AVE",
            "address_2": "#409",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043169",
            "telephone_number": "714-484-3781",
            "fax_number": "714-484-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "NICHOLAS",
        "middle_name": "YOUNGRAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A52615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A526150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOUNG",
            "last_name": "KIM",
            "middle_name": "RAE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Minsu Kim
• Minwoo Kim
• Miwon Kim, PHARM.D.
• Monica Kim
• Morgan Kim
• Nina Kim
• Paul Kim, DPT
• Peter J. Kim, MD
• Pung Kwan Kim, L.AC.
• Pyung Ae Kim

• Rheumatology Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.