Individual provider Active NPI

Robert Y Kim, M.D.

  • Vascular & Interventional Radiology Physician
  • Walnut Creek, CA
National Provider Identifier
1477598506
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A81211 Issued in CA
Practice address
2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536
Phone
(925) 296-7150
Fax
(925) 296-7171
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X A81211 CA Primary
Diagnostic Radiology Physician 2085R0202X A81211 CA

Addresses

Primary practice location

2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536

Mailing address

2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536
Phone (925) 296-7150

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
I20040908001152 CA Practitioner - Diagnostic Radiology 2860468089 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Imaging Consultants Medical Group IncGroup PAC ID 9537069125, 133 clinicians
Magnetic Imaging Affiliates LLCGroup PAC ID 5496066961, 43 clinicians

Practice addresses (Care Compare)

2450 Ashby Ave
Berkeley, CA 94705-2067
Phone (510) 204-1566

5730 Telegraph Ave
Oakland, CA 94609-1710
Phone (510) 204-2744

Hospital & facility affiliations

  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488
  • Sutter Delta Medical Center Hospital, Antioch, CA, CCN 050523
  • Sutter Solano Medical Center Hospital, Vallejo, CA, CCN 050101

Merit-based Incentive Payment System (MIPS)

Final score
83.33 of 100Reported as group
Quality
77.37
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as group
Quality
84.1
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81211CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
Magnetic Imaging Affiliates, LLC Diagnostic Radiology CurrentSince Jul 17, 2015 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Jun 1, 1985 Accepting new patients
John Muir Magnetic Imaging Center Diagnostic Radiology CurrentSince Jul 18, 2010 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
John Muir Call Coverage Medical Group, Inc. Past Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology PastSince Feb 4, 2024 Accepting new patients
Hni Medical Services of California, PC Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

2001 Dwight Way
Berkeley, CA 94704
Phone (510) 204-1880

2001 Dwight Way
Ste A
Berkeley, CA 94704
Phone (210) 204-4460

2400 Balfour Rd
Brentwood, CA 94513
Phone (925) 308-8100

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2410 High School Ave
Concord, CA 94520
Phone (925) 687-5600

5730 Telegraph Ave
Ste 200
Oakland, CA 94609

5730 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-1507

3100 Summit St
Oakland, CA 94609
Phone (510) 869-8377

12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180

300 Hospital Dr
#1112
Vallejo, CA 94589
Phone (707) 554-4107

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

115 La Casa Via
#100
Walnut Creek, CA 94598
Phone (925) 295-1545

2125 Oak Grove Rd
Ste 200
Walnut Creek, CA 94598
Phone (925) 993-9440

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

2405 Shadelands Dr
Ste 110
Walnut Creek, CA 94598
Phone (925) 210-8600

1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245

Interoperability endpoints

  • Direct secure messaging: rkim13891@hisp.ehr.sutterhealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1477598506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982536",
            "telephone_number": "925-296-7150",
            "fax_number": "925-296-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982536",
            "telephone_number": "925-296-7150",
            "fax_number": "925-296-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ROBERT",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A81211",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A81211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.