Individual provider Active NPI

Edward Thomas Kim, M.D.

  • Cardiovascular Disease Physician
  • Newport Beach, CA
National Provider Identifier
1609011204
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A136939 Issued in CA
Practice address
400 Newport Center Dr Ste 704
Newport Beach, CA 92660-8603
Phone
(949) 785-6300
Fax
(877) 682-2155
NPI assigned
Dec 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Cardiac Electrophysiology Physician 207RC0001X A136939 CA
Cardiovascular Disease Physician 207RC0000X A136939 CA Primary
Internal Medicine Physician 207R00000X 4301102651 MI
Clinical Cardiac Electrophysiology Physician 207RC0001X 4301102651 MI
Cardiovascular Disease Physician 207RC0000X 4301102651 MI

Addresses

Primary practice location

400 Newport Center Dr Ste 704
Newport Beach, CA 92660-8603

Mailing address

400 Newport Center Dr Ste 704
Newport Beach, CA 92660-8603
Phone (949) 785-6300

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
I20150924001202 CA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 8527285725 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
R Franklin University of Med & Sci/Chicago Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Newport Heart Medical Group IncGroup PAC ID 5799723011, 9 clinicians

Practice addresses (Care Compare)

400 Newport Ctr Dr
Suite 704
Newport Beach, CA 92660-8603
Phone (949) 785-6300

415 Old Newport Blvd
Suite 200
Newport Beach, CA 92663-4252
Phone (949) 548-9611

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136939CAMDMarriage & Family Therapist
A136939CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Medical Clinic, Inc Internal Medicine CurrentSince Sep 14, 2015 Accepting new patients
Riverside Medical Clinic, Inc Internal Medicine CurrentSince Sep 14, 2015 Accepting new patients
Newport Heart Medical Group Inc CurrentSince Feb 7, 2024 Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Edward T Kim MD PC Cardiovascular Disease CurrentSince Dec 17, 2025 Accepting new patients
Hoag Hospital Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients

Locations

400 Newport Center Dr
Ste 704
Newport Beach, CA 92660
Phone (949) 720-0505

415 Old Newport Blvd
Ste 200
Newport Beach, CA 92663
Phone (949) 548-9611

7160 Brockton Ave
Riverside, CA 92506
Phone (951) 782-3714

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFFFAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGBAED/Endpoint/CGBAED

Organizations & group practices 8

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 3

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": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1609011204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 704",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608603",
            "telephone_number": "949-785-6300",
            "fax_number": "877-682-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 704",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608603",
            "telephone_number": "949-785-6300",
            "fax_number": "877-682-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EDWARD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-10",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A136939",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A136939",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301102651",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MI",
            "license": "4301102651",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301102651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.