Individual provider Active NPI

Dong Hyun John Kim, D.O.

  • Hospitalist Physician
  • Henderson, NV
National Provider Identifier
1548614563
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DO2524 Issued in NV
Practice address
3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone
(702) 492-8592
Fax
(702) 492-8045
NPI assigned
Apr 15, 2016
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO2524 NV
Hospitalist Physician 208M00000X DO2524 NV Primary

Addresses

Primary practice location

3001 Saint Rose Pkwy
Henderson, NV 89052-3839

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Other practice location 1

8280 W Warm Springs Rd
Las Vegas, NV 89113-3612
Phone (702) 492-8592

Other practice location 2

102 E Lake Mead Pkwy
Henderson, NV 89015-5575
Phone (702) 492-8592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20191121001546 NV Practitioner - Hospitalist 6305130592 Reassigns benefits to 4 organizations
I20220719000500 CA Practitioner - Family PracticePractitioner - Hospitalist 6305130592 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical Group Nevada LLCGroup PAC ID 1254571896, 127 clinicians

Practice addresses (Care Compare)

8689 W Charleston Blvd
Suite 105
Las Vegas, NV 89117-5485
Phone (702) 304-5900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alshifa Medical Group Inc CurrentSince Aug 9, 2024 Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Dignity Health Medical Group Nevada, LLC Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Platinum Hospitalists LLP Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
5 Rivers Health Inc Internal Medicine CurrentSince Jan 6, 2025 Accepting new patients
Southwest Medical Associates, Inc Internal Medicine CurrentSince Oct 15, 2019 Accepting new patients
Sutter Valley Medical Foundation Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jul 1, 2023 Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince May 1, 2020 Accepting new patients
Optum Medical Group II Rhodes P C Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Platinum Hospitalists LLP Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Dignity Health Past Accepting new patients

Locations

7811 Laguna Blvd
Ste 161
Elk Grove, CA 95758
Phone (916) 877-7778

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

6839 Five Star Blvd
Ste C
Rocklin, CA 95677
Phone (916) 742-7103

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

10200 Trinity Pkwy
Ste 202
Stockton, CA 95219
Phone (209) 955-1229

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

2704 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 243-8500

2716 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 240-8934

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653

8280 W Warm Springs Rd
Las Vegas, NV 89113
Phone (702) 458-5099

8689 W Charleston Blvd
Ste 105
Las Vegas, NV 89117
Phone (702) 304-5900

Interoperability endpoints

  • Direct secure messaging: dkim598830@direct.med.utah.edu

Organizations & group practices 14

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 14

Hospital & facility affiliations 1

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": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1548614563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SAINT ROSE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523839",
            "telephone_number": "702-492-8592",
            "fax_number": "702-492-8045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8280 W Warm Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891133612",
            "country_code": "US",
            "telephone_number": "702-492-8592",
            "fax_number": "702-492-8045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 E Lake Mead Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890155575",
            "country_code": "US",
            "telephone_number": "702-492-8592",
            "fax_number": "702-492-8045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "DONG HYUN",
        "middle_name": "JOHN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-15",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2524",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "DO2524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.