Individual provider Active NPI

Alexander H Kim, D.O.

  • Gastroenterology Physician
  • Los Angeles, CA
National Provider Identifier
1609190354
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
20A15607 Issued in CA
Practice address
1245 Wilshire Blvd Ste 430
Los Angeles, CA 90017-5839
Phone
(213) 977-4156
NPI assigned
Mar 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 20A15607 CA Primary

Addresses

Primary practice location

1245 Wilshire Blvd Ste 430
Los Angeles, CA 90017-5839

Mailing address

1245 Wilshire Blvd Ste 430
Los Angeles, CA 90017-5839
Phone (213) 977-4156

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
I20181016003751 CA Practitioner - Gastroenterology 9931341146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

1245 Wilshire Blvd
Suite 703And711
Los Angeles, CA 90017-4810
Phone (213) 977-0419

Hospital & facility affiliations

  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471
  • Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy59
Upper gastrointestinal (GI) endoscopy for acid reflux114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A15607CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Nov 1, 2021 Accepting new patients
Pih Health Physicians CurrentSince Nov 1, 2021 Accepting new patients
Pih Health Physicians Current Accepting new patients
North Colorado Medical Center Past Accepting new patients
University of Maryland Medical Center, LLC Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
Geisinger Clinic Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Fernando Ibarra M D Inc Gastroenterology PastSince Sep 1, 2019 Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1245 Wilshire Blvd
Ste 430
Los Angeles, CA 90017
Phone (213) 977-4156

1245 Wilshire Blvd
Ste 703711
Los Angeles, CA 90017
Phone (213) 977-0419

1245 Wilshire Blvd
Ste 530
Los Angeles, CA 90017
Phone (213) 483-1055

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

1245 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 202-2800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: alexanderkim@pihh.allscriptsdirect.net

Organizations & group practices 10

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 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": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1609190354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 430",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175839",
            "telephone_number": "213-977-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 430",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175839",
            "telephone_number": "213-977-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ALEXANDER",
        "middle_name": "H",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-24",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "20A15607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.