Michael Chunguck Kim, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD00038580 Issued in WA

Practice address

3200 Main Street
Vancouver, WA 98663

Phone

(360) 696-4691

Fax

(360) 823-2260

NPI assigned

Mar 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Ophthalmology

Education

Washington University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vancouver Eye Care PSGroup PAC ID 5799673364, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.47 of 100Reported as group

Quality

100

Promoting interoperability

89

Improvement activities

40

Cost

77.41

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.kim.p1@direct.vecmaxwellit.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Vancouver Eye Care PS

  • Ophthalmology Physician
  • Vancouver, WA
  • NPI 1356375042
  Medicare reassignment Care Compare group NPD
• Vancouver Eye Care, P.S.

  • Eyewear Supplier
  • Vancouver, WA
  • NPI 1770755746
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1639146467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61896",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986661896",
            "telephone_number": "360-823-2012",
            "fax_number": "360-823-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MAIN STREET",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98663",
            "telephone_number": "360-696-4691",
            "fax_number": "360-823-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MICHAEL",
        "middle_name": "CHUNGUCK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00038580",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD22633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8255838",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph June Kim, DDS
• Ju Hyung Kim
• Junghee Kim, DMD
• Kalis J Kim, NP
• Lawrence Young Kim, MD
• Michelle Kim
• Montha Michelle Kim
• Sophia Jihae Kim, M.D.
• Stephen S Kim, MD
• Steve Kim, MD

• Ophthalmology Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.

Verify at the official NPI Registry.