Individual provider Active NPI

DO Hee Kim, MD

  • Nuclear Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1346542263
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
01068849A Issued in IN
Practice address
500 S Virgil Ave Ste 200
Los Angeles, CA 90020-1448
Phone
(213) 675-8916
NPI assigned
Nov 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X 01068849A IN
Nuclear Imaging & Therapy Physician 207UN0902X 01068849A IN
Nuclear Medicine Physician 207U00000X 01068849A IN Primary

Addresses

Primary practice location

500 S Virgil Ave Ste 200
Los Angeles, CA 90020-1448

Mailing address

500 S Virgil Ave Ste 200
Los Angeles, CA 90020-1448
Phone (213) 675-8916

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
I20110719000287 CA Practitioner - Nuclear Medicine 7315115664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilshire Cardiology Group, a Professional CorporationGroup PAC ID 6507044476, 2 clinicians

Practice addresses (Care Compare)

500 S Virgil Ave
Suite 200
Los Angeles, CA 90020-1448
Phone (213) 387-8000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wilshire Cardiology Group, a Professional Corporation Nuclear Medicine CurrentSince Apr 12, 2011 Accepting new patients
Pathology Associates of Terre Haute, Inc. Past Accepting new patients

Locations

500 S Virgil Ave
Ste 200
Los Angeles, CA 90020
Phone (213) 387-8000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: doheekim@wilshirecardiologygroup.ssdirect.aprima.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.

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1346542263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S VIRGIL AVE STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201448",
            "telephone_number": "213-675-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S VIRGIL AVE STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201448",
            "telephone_number": "213-675-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DO HEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "IN",
            "license": "01068849A",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "IN",
            "license": "01068849A",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "IN",
            "license": "01068849A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.