Seong Il Kim, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

C139331 Issued in CA

Practice address

1245 Wilshire Blvd Ste 303
Los Angeles, CA 90017

Phone

(213) 977-1214

Fax

(213) 482-8868

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Hematology/Oncology

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Los Angeles Hematology-Oncology Medical GroupGroup PAC ID 6608819594, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: seong.kim@theoncologyinstitute.ikm.direct-ci.com

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.

• Los Angeles Hematology-Oncology Medical Group

  • Specialist
  • Los Angeles, CA
  • NPI 1457409674

  Hematology & Oncology

  Medicare reassignment Care Compare group NPD
• Los Angeles Hematology-Oncology Medical Group

  • Non-Pharmacy Dispensing Site
  • Glendale, CA
  • NPI 1952516627

  Hematology & Oncology

  NPD
• Metropolitan Hematology Oncology Medical Group, Inc

  • Hematology & Oncology Physician
  • Los Angeles, CA
  • NPI 1154384758
  NPD (past)

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

• Dignity Community Care

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  Care Compare affiliation

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1316987605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W COLORADO ST STE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043640",
            "telephone_number": "323-254-0046",
            "fax_number": "323-488-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90017",
            "telephone_number": "213-977-1214",
            "fax_number": "213-482-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SEONG",
        "middle_name": "IL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "C139331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0856300",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seewan Kim
• Sejung Kim
• Seo in Tory Kim
• Seon Tae Kim
• Seong Hee Kim, NP
• Seran Kim, MD
• Seung H Kim, M.D.
• Seung Yol Kim
• Shannon Moa Kim
• Sharon Kim

• Hematology & Oncology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.