NPIMap

Individual provider Active NPI

Dae Soon Rheem, M.D.

  • Gastroenterology Physician
  • Los Angeles, CA
National Provider Identifier
1295915585
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A92866 Issued in CA
Practice address
505 S Virgil Ave
Suite 102
Los Angeles, CA 90020-1406
Phone
(213) 381-3630
NPI assigned
Nov 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A92866 CA
Gastroenterology Physician 207RG0100X A92866 CA Primary

Addresses

Primary practice location

505 S Virgil Ave
Suite 102
Los Angeles, CA 90020-1406

Mailing address

505 S Virgil Ave
Suite 102
Los Angeles, CA 90020-1406
Phone (213) 381-3630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000760 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 9638200496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel Rheem, M.D., Inc.Group PAC ID 4880818731, 2 clinicians

Practice addresses (Care Compare)

505 S Virgil Ave
Suite 106
Los Angeles, CA 90020-1407
Phone (213) 381-3630

Hospital & facility affiliations

  • Ace Home Health, Inc. Home health agency, Los Angeles, CA, CCN 058082
  • Mission Home Health Services, Inc Home health agency, Los Angeles, CA, CCN 058131
  • Cross Care, Inc Home health agency, Los Angeles, CA, CCN 059383
  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy229
Upper gastrointestinal (GI) endoscopy for acid reflux561

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yonsei Medical Group, Inc. Internal Medicine CurrentSince Dec 22, 2020 Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients
Edward T. Wong MD Inc PastSince Jan 26, 2022 Accepting new patients
Grand Gi & Endoscopy Group, Inc. PastSince Jan 7, 2015 Accepting new patients

Locations

505 S Virgil Ave
Ste 106
Los Angeles, CA 90020
Phone (213) 381-3630

505 S Virgil Ave
Ste 101
Los Angeles, CA 90020
Phone (213) 384-4000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dae.rheem@233275732197380.direct.elationemr.com

Organizations & group practices 5

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": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1295915585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S VIRGIL AVE",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201406",
            "telephone_number": "213-381-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S VIRGIL AVE",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201406",
            "telephone_number": "213-381-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEEM",
        "first_name": "DAE",
        "middle_name": "SOON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A92866",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A92866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.