Active NPI
Eva C. Kim, MD
- Ophthalmology Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- DR.0057104
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 88.72
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 666 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A90446 | CA | MD | Ophthalmology Physician |
| DR.0057104 | CO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Vision Eye Care Group LLC | Ophthalmology | Current | Accepting new patients |
| Total Vision Eye Care Group LLC | Ophthalmology | Current | 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
- 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.
-
- Ophthalmology Physician
- Basalt, CO
- NPI 1568248243
-
dba ICON Surgery Center of Denver
- Ambulatory Surgical Clinic/Center
- Englewood, CO
- NPI 1053711275
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1023483153
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.