NPIMap

Individual provider Active NPI

David Sungmin Kim, M.D.

  • Ophthalmology Physician
  • Napa, CA
National Provider Identifier
1558568634
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A105173 Issued in CA
Practice address
895 Trancas St
Napa, CA 94558-3040
Phone
(707) 252-2020
NPI assigned
Jul 2, 2007
Last updated
Mar 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A105173 CA Primary

Addresses

Primary practice location

895 Trancas St
Napa, CA 94558-3040

Mailing address

895 Trancas St
Napa, CA 94558-3040
Phone (707) 252-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090424000400 CA Practitioner - OphthalmologyPractitioner - Internal Medicine 5991853210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Center of Napa Valley a Medical CorporationGroup PAC ID 5496723793, 8 clinicians

Practice addresses (Care Compare)

895 Trancas St
Napa, CA 94558-3040
Phone (707) 252-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.45 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
71.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A105173CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Center of Napa Valley a Medical Corporation Ophthalmology CurrentSince May 1, 2012 Accepting new patients
Eye Care Center of Napa Valley, a Medical Corporation Ophthalmology CurrentSince May 1, 2012 Accepting new patients
Department of State Hospitals CurrentSince Feb 2, 2020 Accepting new patients
Department of State Hospitals CurrentSince Feb 2, 2020 Accepting new patients
Eyelliance Vision Partners ASC LLC Current Accepting new patients
Department of State Hospitals Current Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Ahmc San Gabriel Valley Medical Ophthalmology Past Accepting new patients
Dignity Community Care Past Accepting new patients
West Hills Hospital Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Marin General Hospital Past Accepting new patients
Sonoma Valley Health Care District Past Accepting new patients

Locations

800 Trancas St
Napa, CA 94558
Phone (314) 265-5663

2100 Napa Vallejo Hwy
Napa, CA 94558
Phone (707) 253-5000

895 Trancas St
Napa, CA 94558
Phone (707) 252-0990

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

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 2

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1558568634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 TRANCAS ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583040",
            "telephone_number": "707-252-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 TRANCAS ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583040",
            "telephone_number": "707-252-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAVID",
        "middle_name": "SUNGMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A105173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.