NPIMap

Individual provider Active NPI

Hans Hansuck Kim, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Los Angeles, CA
National Provider Identifier
1710093182
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A100556 Issued in CA
Practice address
4220 W 3Rd St
Suite 206
Los Angeles, CA 90020-3450
Phone
(213) 380-8800
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A100556 CA
Retina Specialist (Ophthalmology) Physician 207WX0107X A100556 CA Primary

Addresses

Primary practice location

4220 W 3Rd St
Suite 206
Los Angeles, CA 90020-3450

Mailing address

4220 W 3Rd St
Suite 206
Los Angeles, CA 90020-3450
Phone (213) 380-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090408000162 CA Practitioner - Ophthalmology 1658471131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serrano Eye Center Medical GroupGroup PAC ID 8224117403, 3 clinicians

Practice addresses (Care Compare)

4220 W 3Rd St
Suite 206
Los Angeles, CA 90020-3450
Phone (213) 380-8800

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A100556CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Serrano Eye Center Medical Group Ophthalmology CurrentSince Aug 13, 2010 Accepting new patients
County of Los Angeles CurrentSince Nov 29, 2009 Accepting new patients
County of Los Angeles CurrentSince Nov 29, 2009 Accepting new patients
Inova Health Care Services Past Accepting new patients
Medstar Georgetown Medical Center, Inc Past Accepting new patients
Virginia Hospital Center Arlington Health System Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Torrance Memorial Medical Center Ophthalmology Past Accepting new patients
Washington Hospital Center Corp Past Accepting new patients
Washington National Eye Center Ophthalmology Past Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

4220 W 3rd St
Ste 206
Los Angeles, CA 90020
Phone (213) 380-8800

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hkimmd@serranoeyecenter.direct.eyemdemr.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1710093182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 W 3RD ST",
            "address_2": "SUITE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203450",
            "telephone_number": "213-380-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 W 3RD ST",
            "address_2": "SUITE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203450",
            "telephone_number": "213-380-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HANS",
        "middle_name": "HANSUCK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A100556",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A100556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.