Individual provider Active NPI

Alexander P Kim, DO

  • Gastroenterology Physician
  • Yuba City, CA
National Provider Identifier
1265504583
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
20A8742 Issued in CA
Practice address
870 Shasta St Ste 200
Yuba City, CA 95991-4117
Phone
(530) 671-3671
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 20A8742 CA Primary

Addresses

Primary practice location

870 Shasta St Ste 200
Yuba City, CA 95991-4117

Mailing address

870 Shasta St Ste 200
Yuba City, CA 95991-4117

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120830000050 CA Practitioner - Gastroenterology 3072760859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Valley Gastroenterology Medical Group IncGroup PAC ID 1456650464, 3 clinicians

Practice addresses (Care Compare)

870 Shasta St
Suite 200
Yuba City, CA 95991-4117
Phone (530) 671-3671

Hospital & facility affiliations

  • Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Colusa Medical Center Hospital, Colusa, CA, CCN 050783

Merit-based Incentive Payment System (MIPS)

Final score
98.96 of 100Reported as group
Quality
87.92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy204
Upper gastrointestinal (GI) endoscopy for acid reflux180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8742CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Valley Gastroenterology Medical Group, Inc Gastroenterology CurrentSince Mar 31, 2016 Accepting new patients
The Endoscopy Center, Inc. CurrentSince Oct 1, 2015 Accepting new patients

Locations

870 Shasta St
Ste 100
Yuba City, CA 95991
Phone (530) 671-3671

870 Shasta St
Ste 200
Yuba City, CA 95991
Phone (530) 671-3671

Interoperability endpoints

  • Direct secure messaging: alexkim@nvgimg.allscriptsdirect.net
  • Direct secure messaging: alexanderkim@thendctr.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1265504583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 SHASTA ST STE 200",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 SHASTA ST STE 200",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914117",
            "telephone_number": "530-671-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ALEXANDER",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "20A8742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.