Individual provider Active NPI

Ran S Kim, M.D.

  • Colon & Rectal Surgery Physician
  • Walnut Creek, CA
National Provider Identifier
1437237005
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
G75587 Issued in CA
Practice address
1399 Ygnacio Valley Rd Ste 11D
Walnut Creek, CA 94598-2874
Phone
(925) 430-5613
Fax
(510) 340-5462
NPI assigned
Nov 1, 2006
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G75587 CA
Colon & Rectal Surgery Physician 208C00000X G75587 CA Primary

Addresses

Primary practice location

1399 Ygnacio Valley Rd Ste 11D
Walnut Creek, CA 94598-2874

Mailing address

1399 Ygnacio Valley Rd Ste 11D
Walnut Creek, CA 94598-2874
Phone (925) 430-5613

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
I20090217000291 CA Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 5890871941 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Medical College of Pennsylvania, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

Burlingame, CA 94010
Phone (650) 740-3442

1399 Ygnacio Valley Rd
Suite 11D
Walnut Creek, CA 94598-2874
Phone (925) 357-9033

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4512

365 Lennon LN
Walnut Creek, CA 94598-5915

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as apm
Quality
80.39
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy108
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Varicose vein removal1-10
Removal of tissue15
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G75587CAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Surgical Specialists Inc a Medical Corporation CurrentSince Jan 1, 2017 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Jan 1, 2017 Accepting new patients
U Wellness Wound Care Apc Surgery CurrentSince Mar 1, 2025 Accepting new patients
Sun Healthcare and Surgery Group Inc CurrentSince Jul 1, 2020 Accepting new patients
Health Connect Wound Solutions Professional Corporation Surgery CurrentSince Feb 14, 2026 Accepting new patients
Ketamine Infusion Associates, Inc. CurrentSince Apr 1, 2021 Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Oct 5, 2017 Accepting new patients
Andes Medical Care Apc Surgery CurrentSince Apr 1, 2021 Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

433 Airport Blvd
Ste 140
Burlingame, CA 94010

2975 Treat Blvd
Ste B1
Concord, CA 94518
Phone (925) 288-9500

1815 Arnold Dr
Martinez, CA 94553
Phone (925) 705-4900

3469 Tennessee St
Ste 302
Vallejo, CA 94591

1399 Ygnacio Valley Rd
Ste 11D
Walnut Creek, CA 94598
Phone (925) 357-9033

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

365 Lennon Ln
Ste 290
Walnut Creek, CA 94598
Phone (925) 274-9000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rkim11242@ehr.johnmuirhealth.com
  • Direct secure messaging: rkim226809@hisp.ehr.sutterhealth.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1437237005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 YGNACIO VALLEY RD STE 11D",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982874",
            "telephone_number": "925-430-5613",
            "fax_number": "510-340-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 YGNACIO VALLEY RD STE 11D",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982874",
            "telephone_number": "925-430-5613",
            "fax_number": "510-340-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "RAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G75587",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "G75587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.