Dong H Kim, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A112453 Issued in CA

Practice address

4241 Long Beach Blvd
Rad-Image Medical Group Inc.
Long Beach, CA 90807-2003

Phone

(562) 912-2507

Fax

(484) 918-2507

NPI assigned

Sep 12, 2011

Last updated

Jun 4, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA, OH, HI3 enrollments

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 3

Specialty

Diagnostic Radiology

Education

New York University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Health Physicians Youngstown Specialty Care LLCGroup PAC ID 3476950296, 463 clinicians

Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
• Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581
• Grant Medical Center Hospital, Columbus, OH, CCN 360017
• Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
• HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 48)

Interoperability endpoints

• Direct secure messaging: dkim468740@direct.stlukeshealth.org

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.

• Columbus Radiology Corp

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1669408159

  CA, HI

  Medicare reassignment Care Compare group NPD
• Golden State Imaging Associates Inc

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1144872052

  CA

  Medicare reassignment Care Compare group NPD
• Mercy Health Physicians Youngstown Specialty Care LLC

  • Surgery Physician
  • Youngstown, OH
  • NPI 1649892225
  Medicare reassignment Care Compare group NPD
• Glendora Radiological Assoc Inc

  • Diagnostic Radiology Physician
  • Covina, CA
  • NPI 1992797070
  Medicare reassignment NPD
• Eagle Partners, PLLC

  • Diagnostic Radiology Physician
  • Duncan, OK
  • NPI 1548450976

  CA, Neuroradiology

  Medicare reassignment NPD
• Imaging Associates of New Mexico LLC

  • Diagnostic Radiology Physician
  • Albuquerque, NM
  • NPI 1629592464

  CA

  Medicare reassignment NPD
• Mercy Health Physicians Youngstown, LLC

  • Family Medicine Physician
  • Youngstown, OH
  • NPI 1154636066
  Medicare reassignment NPD
• Radiology Associates of Canton, Inc.

  • Diagnostic Radiology Physician
  • Canton, OH
  • NPI 1912982034

  CA, Neuroradiology

  Medicare reassignment NPD
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875

  CA, Neuroradiology

  Medicare reassignment NPD
• Sonoran Radiology LTD

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
  • NPI 1033745708

  CA, Diagnostic Radiology

  Medicare reassignment NPD
• Truxtun Radiology Medical Group, L.P.

  • Radiology Clinic/Center
  • Bakersfield, CA
  • NPI 1548265036
  NPD
• Mercy Health Physicians Youngstown LLC

  dba Mercy Health - Boardman Orthopaedics

  • Durable Medical Equipment & Medical Supplies
  • Boardman, OH
  • NPI 1750920245
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of California Irvine

  dba UCI Health Lakewood

  • General Acute Care Hospital
  • Lakewood, CA
  • NPI 1184655581
  Care Compare affiliation
• Adena Health System

  dba Adena Regional Medical Center

  • General Acute Care Hospital
  • Chillicothe, OH
  • NPI 1902839673
  Care Compare affiliation
• Mercy Health - St Vincent Medical Center LLC

  dba Mercy Health St Vincent Medical Center

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1467493551
  Care Compare affiliation
• Mercy Health Youngstown LLC

  dba Mercy Health St Elizabeth Boardman Hospital

  • General Acute Care Hospital
  • Youngstown, OH
  • NPI 1790868982
  Care Compare affiliation
• Ohiohealth Corporation

  dba Grant Medical Center

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1255377149
  Care Compare affiliation

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1457633919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 LONG BEACH BLVD",
            "address_2": "RAD-IMAGE MEDICAL GROUP INC.",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072003",
            "telephone_number": "562-912-2507",
            "fax_number": "484-918-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 LONG BEACH BLVD",
            "address_2": "RAD-IMAGE MEDICAL GROUP INC.",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072003",
            "telephone_number": "562-912-2507",
            "fax_number": "484-918-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DONG",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-12",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A112453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457633919",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00A1124530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Phuong Kim
• David C Kim, M.D.
• David H Kim, M.D., D.D.S.
• David S Kim, MD
• Deborah P Kim, M.D.
• Esther S Kim, PHARM. D.
• Eui Soo Kim, ACUPUCTURIST
• Eunji Kim, L.AC.
• Francine M Kim, M.D.
• Grace Kim

• Diagnostic Radiology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.

Verify at the official NPI Registry.