Active NPI
Dong Hyun John Kim, D.O.
- Hospitalist Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- DO2524
- 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, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alshifa Medical Group Inc | Current | Accepting new patients | |
| Vituity Hospitalists PC | Internal Medicine | Current | Accepting new patients |
| Dignity Health Medical Group Nevada, LLC | Family Medicine | Current | Accepting new patients |
| Platinum Hospitalists LLP | Family Medicine | Current | Accepting new patients |
| 5 Rivers Health Inc | Internal Medicine | Current | Accepting new patients |
| Southwest Medical Associates, Inc | Internal Medicine | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Family Medicine | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Vituity Hospitalists PC | Internal Medicine | Current | Accepting new patients |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Optum Medical Group II Rhodes P C | Internal Medicine | Current | Accepting new patients |
| Platinum Hospitalists LLP | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Henderson, NV
- NPI 1376805416
-
dba Southwest Medical
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1790329407
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1659346005
-
- Internal Medicine Physician
- Rocklin, CA
- NPI 1497592869
-
dba Trinity Urgent Care & Occupational Health
- Urgent Care Clinic/Center
- Stockton, CA
- NPI 1093960403
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
Family Medicine
-
- Internal Medicine Physician
- Carmichael, CA
- NPI 1508899758
-
dba Optumcare Anesthesia
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1770556037
-
dba Platinum Continuity and Specialty Clinic
- Internal Medicine Physician
- Henderson, NV
- NPI 1437948726
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Rose Dominican Hospital, Siena Campus
- General Acute Care Hospital
- Henderson, NV
- NPI 1770626426
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.