Johnathan Jonghyun Kim, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A149386 Issued in CA

Practice address

300 Pasteur Dr
Stanford, CA 94305-2200

Phone

(909) 558-4074

NPI assigned

Jun 17, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Diagnostic Radiology

Education

Texas a & M University System, HSC, College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Radiology Consultants PLLCGroup PAC ID 6709868409, 120 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
• Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851
• Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372
• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
• Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352

Merit-based Incentive Payment System (MIPS)

Final score

93.26 of 100Reported as group

Quality

100

Improvement activities

40

Cost

72.03

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• American Radiology Consultants PLLC

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1669425195
  Medicare reassignment Care Compare group NPD
• Blue Stone JV LLP

  • Physiological Laboratory
  • Irving, TX
  • NPI 1811357114
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Mesquite, TX
  • NPI 1073951414
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Fort Worth, TX
  • NPI 1154769503
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Dallas, TX
  • NPI 1225476658
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Hurst, TX
  • NPI 1245678697
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Plano, TX
  • NPI 1255779690
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Southlake, TX
  • NPI 1265870604
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Dallas, TX
  • NPI 1275971616
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Burleson, TX
  • NPI 1508204959
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Fort Worth, TX
  • NPI 1568800092
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Grand Prairie, TX
  • NPI 1710325154
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor Medical Center at Waxahachie

  • General Acute Care Hospital
  • Waxahachie, TX
  • NPI 1265430177
  Care Compare affiliation
• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253
  Care Compare affiliation
• Hunt Memorial Hospital District

  • General Acute Care Hospital
  • Greenville, TX
  • NPI 1598750721
  Care Compare affiliation
• Mother Frances Hospital Regional Health Care Center

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Care Compare affiliation
• Texas Heart Hospital of the Southwest LLC

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1609855139
  Care Compare affiliation

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1639550437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "909-558-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOHNATHAN",
        "middle_name": "JONGHYUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A149386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIN",
            "identifier": "216005344",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Jy Kim, MD
• Jennifer Kim, MS
• Jennifer Jeanyoung Kim, M.D.
• Ji Soo Kim
• Jin Kyung Kim
• Joo Young Kim, PA-C
• Joon Tae Kim
• Julie Kim
• Jun Hee Kim
• Juyong Brian Kim, MD

• Diagnostic Radiology Physician in Stanford, CA
• Providers in Stanford, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.