Active NPI
Kim L Bui, MD
- Surgery Physician
- Newberg, OR
National Provider Identifier
1659463511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD22943
- Practice address
- 1003 Providence Drive
Suite 210
Newberg, OR 97132 - Phone
- (503) 537-5900
- Fax
- (503) 537-5959
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD22943 | OR | Primary |
Addresses
Primary practice location
1003 Providence Drive
Suite 210
Newberg, OR 97132
Mailing address
PO Box 4949
Portland, OR 97208-4949
Phone (503) 215-6446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287574 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22943 | OR | MD | Chiropractor |
| MD22943 | OR | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195516800000",
"number": "1659463511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4949",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084949",
"telephone_number": "503-215-6446",
"fax_number": "503-215-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 PROVIDENCE DRIVE",
"address_2": "SUITE 210",
"city": "NEWBERG",
"state": "OR",
"postal_code": "97132",
"telephone_number": "503-537-5900",
"fax_number": "503-537-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUI",
"first_name": "KIM",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2007-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD22943",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287574",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.