Individual provider Active NPI

Eva C. Kim, MD

  • Ophthalmology Physician
  • Denver, CO
National Provider Identifier
1457401259
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DR.0057104 Issued in CO
Practice address
3900 E Mexico Ave Ste 102
Denver, CO 80210-3941
Phone
(720) 524-1001
Fax
(720) 524-1121
NPI assigned
Jan 12, 2007
Last updated
Apr 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A90446 CA
Ophthalmology Physician 207W00000X DR.0057104 CO Primary

Addresses

Primary practice location

3900 E Mexico Ave Ste 102
Denver, CO 80210-3941

Mailing address

3900 E Mexico Ave Ste 102
Denver, CO 80210-3941
Phone (720) 524-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20161019000650 CO Practitioner - Ophthalmology 1759324700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Francisco School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision Eye Care Group LLCGroup PAC ID 2163315854, 21 clinicians

Practice addresses (Care Compare)

10520 El Diente CT a
Icon Eyecare
Englewood, CO 80112-2656
Phone (720) 524-1001

3900 E Mexico Ave
Suite 102
Denver, CO 80210-3941

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
88.72
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery666

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90446CAMDOphthalmology Physician
DR.0057104COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision Eye Care Group LLC Ophthalmology CurrentSince Feb 1, 2018 Accepting new patients
Total Vision Eye Care Group LLC Ophthalmology CurrentSince Feb 1, 2018 Accepting new patients
Arlington Anesthesia Group, PLLC Past Accepting new patients
ASC Lone Tree LLC Past Accepting new patients

Locations

1421 S Potomac St
Ste 130
Aurora, CO 80012
Phone (303) 337-3937

100 Elk Run Dr
Ste 206
Basalt, CO 81621
Phone (970) 256-0400

3900 E Mexico Ave
Ste 102
Denver, CO 80210
Phone (303) 800-2078

55 Madison St
Ste 355
Denver, CO 80206
Phone (303) 398-7320

10520 El Diente Ct
Ste A
Englewood, CO 80112
Phone (720) 414-5310

10520 El Diente Ct
Ste B
Englewood, CO 80112
Phone (720) 248-0797

4103 Boardwalk Dr
Unit 100
Fort Collins, CO 80525
Phone (970) 204-0400

350 Indiana St
Ste 220
Golden, CO 80401

1000 Wellington Ave
Ste A
Grand Junction, CO 81501
Phone (970) 256-0400

1190 Bookcliff Ave
Unit 102
Grand Junction, CO 81501
Phone (970) 242-3323

2515 Foresight Cir
Grand Junction, CO 81505
Phone (970) 766-8346

9399 Crown Crest Blvd
Ste 120
Parker, CO 80138
Phone (303) 337-3937

500 W 144th Ave
Ste 110
Westminster, CO 80023
Phone (303) 428-9696

Interoperability endpoints

  • Direct secure messaging: eva.kim.p6@direct.keec.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1457401259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 E MEXICO AVE STE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103941",
            "telephone_number": "720-524-1001",
            "fax_number": "720-524-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 E MEXICO AVE STE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103941",
            "telephone_number": "720-524-1001",
            "fax_number": "720-524-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EVA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A90446",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR.0057104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.