Moses Kim, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036128765 Issued in IL

Practice address

555 Valley View Dr
Moline, IL 61265-6138

Phone

(309) 764-9675

Fax

(309) 764-3106

NPI assigned

Aug 6, 2008

Last updated

Nov 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, IL2 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 2

Specialty

General SurgeryAlso: Vascular Surgery

Education

University of Miami, LM Miller School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Current Care of Illinois PCGroup PAC ID 6002040276, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Current Care of Illinois PC

  dba Concentra Immediate Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1285071241

  IL

  Medicare reassignment Care Compare group NPD
• American Current Care PA

  dba Concentra Urgent Care

  • Health Service Clinic/Center
  • Addison, TX
  • NPI 1326222191

  IA

  Medicare reassignment NPD
• Vohra Wound Physicians of the West, P.C.

  • Family Medicine Physician
  • Englewood, CO
  • NPI 1205176096

  General Practice, IA

  Medicare reassignment NPD
• American Current Care P.a.

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1376356568
  NPD

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1245496496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656138",
            "telephone_number": "309-764-9675",
            "fax_number": "309-764-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656138",
            "telephone_number": "309-764-9675",
            "fax_number": "309-764-3106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3540 E 46th St",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528073403",
            "country_code": "US",
            "telephone_number": "563-359-1170",
            "fax_number": "563-359-3828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "MOSES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-06",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KY",
            "license": "TP786",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IA",
            "license": "MD-44392",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036128765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Suzanne Kern, RD, LDN
• Kevin D Smith D P M P C
• Sandra J Khoury, MD
• Kidney Care Quad Cities, LLC
• Killean Audiology & Hearing Aid CTRS
• Yeon Soo Kim, DDS
• Cassandra L King, ARNP
• Katherine King, PHARM.D.
• Stacey Marie Kisting, DC
• Derek Klein, DPT

• General Practice Physician in Moline, IL
• Providers in Moline, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.