Active NPI
Young Rhan Kim, M.D.
- Internal Medicine Physician
- Hilo, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD8416
- Practice address
- 868 Ululani St
Suite 109
Hilo, HI 96720-3913 - Phone
- (808) 935-3909
- Fax
- (808) 961-3995
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD8416 | HI | Primary |
Addresses
Primary practice location
868 Ululani St
Suite 109
Hilo, HI 96720-3913
Mailing address
868 Ululani St
Suite 109
Hilo, HI 96720-3913
Phone (808) 935-3909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03095301 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
868 Ululani St
Hilo, HI 96720-3913
Phone (808) 935-3909
Hospital & facility affiliations
- Bayada Home Health Care
- Dba Hawai'I Care Choices
- Hilo Benioff Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD8416 | HI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young Rhan Kim, M.D. Inc. | Internal Medicine | Current | Accepting new patients |
| Ronald L Moy MD Inc | Past | Accepting new patients |
Locations
346 Waianuenue Ave
Hilo, HI 96720
Phone (808) 319-2939
868 Ululani St
Ste 109
Hilo, HI 96720
Phone (808) 935-3909
1001 Kamokila Blvd
Ste 229
Kapolei, HI 96707
Interoperability endpoints
- young.kim@20571075969028.direct.elationemr.com
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.
-
- Internal Medicine Physician
- Hilo, HI
- NPI 1548466196
-
- MOHS-Micrographic Surgery Physician
- Beverly Hills, CA
- NPI 1558693424
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hilo, HI
- NPI 1851650618
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
- Community Based Hospice Care Agency
- Hilo, HI
- NPI 1326048406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514419200000",
"number": "1336206960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "868 ULULANI ST",
"address_2": "SUITE 109",
"city": "HILO",
"state": "HI",
"postal_code": "967203913",
"telephone_number": "808-935-3909",
"fax_number": "808-961-3995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "868 ULULANI ST",
"address_2": "SUITE 109",
"city": "HILO",
"state": "HI",
"postal_code": "967203913",
"telephone_number": "808-935-3909",
"fax_number": "808-961-3995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YOUNG",
"middle_name": "RHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2017-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD8416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03095301",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.