Andrew Kim, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

13226 Issued in NV

Practice address

8530 W Sunset Rd
Suite 230
Las Vegas, NV 89113-2215

Phone

(702) 483-4483

Fax

(702) 483-4493

NPI assigned

Dec 12, 2007

Last updated

Feb 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

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

Gastroenterology

Education

University of Chicago, Pritzker School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kim Chen PLLCGroup PAC ID 3971813379, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.21 of 100Reported as group

Quality

78.16

Improvement activities

40

Cost

75.17

Merit-based Incentive Payment System (MIPS)

Final score

98.39 of 100Reported as group

Quality

96.78

Improvement activities

40

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kim Chen PLLC

  dba Comprehensive Digestive Institute of Nevada

  • Gastroenterology Physician
  • Las Vegas, NV
  • NPI 1881078418
  Medicare reassignment Care Compare group NPD
• Noel R. Fajardo MD PC

  dba Las Vegas Gastroenterology

  • Specialist
  • Las Vegas, NV
  • NPI 1891056370
  Medicare reassignment NPD
• Southwest Medical Associates, Inc

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1659346005
  Medicare reassignment NPD
• Comprehensive Digest Surgery Center LLC

  dba Comprehensive Digestive Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1083119085
  NPD
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  NPD (past)
• Desert Springs Hospital

  dba Desert Springs Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1154317964
  NPD (past)
• Dignity Health

  dba St. Rose Dominican Hospital, Rose de Lima Campus

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1447393152
  NPD (past)
• Sunrise Mountainview Hospital, Inc.

  dba Mountainview Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831143817
  NPD (past)

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1790968816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 W SUNSET RD",
            "address_2": "SUITE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132215",
            "telephone_number": "702-483-4483",
            "fax_number": "702-483-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 W SUNSET RD",
            "address_2": "SUITE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132215",
            "telephone_number": "702-483-4483",
            "fax_number": "702-483-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A87256",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "13226",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "13226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790968816",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790968816",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ok Nam Kim-Reid
• Kim-Vy C Pham DMD PLLC (Inspired Dental)
• Aaron Kim
• Aeja Kim
• Andrew Kim, D.O., PLLC
• Andrew Kim
• Ashley Kim
• Ashley Yenny Kim, FNP-BC
• Bo-Young Kim
• Byonghun Kim

• Gastroenterology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Gastroenterology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.