Paul Sungyul Kim, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G77030 Issued in CA

Practice address

431 S Batavia St
Ste. 103
Orange, CA 92868-3936

Phone

(714) 538-6731

Fax

(714) 771-8369

NPI assigned

May 12, 2006

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 4

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

Specialty

Diagnostic Radiology

Education

Loma Linda University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moran Rowen and Dorsey IncGroup PAC ID 9537063375, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069
• Uci Health-Orange Hospital, Orange, CA, CCN 050348
• Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168

Merit-based Incentive Payment System (MIPS)

Final score

84.56 of 100Reported as group

Quality

85.63

Improvement activities

40

Cost

74.88

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.

• Moran Rowen and Dorsey Inc

  • Diagnostic Radiology Physician
  • Orange, CA
  • NPI 1649263906

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Orange County Heart Institute and Research Center a Medical Group

  • Cardiovascular Disease Physician
  • Orange, CA
  • NPI 1265463608

  CA

  Medicare reassignment NPD
• North Oc Imaging JV, LLC

  • Radiology Clinic/Center
  • Irvine, CA
  • NPI 1952026643
  NPD
• Open Advantage MRI VI, Inc

  • Magnetic Resonance Imaging Radiologic Technologist
  • Sacramento, CA
  • NPI 1962427641
  NPD
• Digital & Radiologic Imaging Associates Inc. a Medical Group

  • Diagnostic Radiology Physician
  • Fountain Valley, CA
  • NPI 1891747200

  Diagnostic Radiology

  NPD (past)
• Jeffrey M. Shapiro, MD, Inc

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1104050285
  NPD (past)
• Paul S Kim and Kirk L Ohanian,MD Inc

  • Diagnostic Radiology Physician
  • San Clemente, CA
  • NPI 1912959669

  Diagnostic Radiology

  NPD (past)
• St Joseph Hospital of Orange

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1912982216
  NPD (past)
• Tyson C. Cobb, M.D., Inc

  • Specialist
  • Orange, CA
  • NPI 1922247485
  NPD (past)

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

• St Joseph Hospital of Orange

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1912982216

  Hospital

  Care Compare affiliation
• St Jude Hospital Inc

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279

  Hospital

  Care Compare affiliation
• St Jude Hospital Inc

  • General Acute Care Hospital
  • Brea, CA
  • NPI 1891904942

  Hospital

  Care Compare affiliation
• St. Joseph Hospital of Orange

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1558575746

  Hospital

  Care Compare affiliation
• University of California Irvine

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1760433296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14005",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928631405",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 S BATAVIA ST",
            "address_2": "STE. 103",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683936",
            "telephone_number": "714-538-6731",
            "fax_number": "714-771-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "PAUL",
        "middle_name": "SUNGYUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G77030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G770300",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G770300",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G770301",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALOPTIMA",
            "identifier": "00G770300159",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miyeon Kim
• Moon Hyun Kim, M.D,
• Nathan Daebhum Kim, DMD
• Patricia Kim
• Paul Kim
• Peter H. Kim, M.D.
• Reina Nae Kim, NP
• Robin Am Kim, M.D.
• Sarah Sueyeon Kim, MD
• Sein Kim, BEHAVIOR TECHNICIAN

• All providers in Orange, CA
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.