Individual provider Active NPI

Charles Ock Kim Jr., MD

  • Urology Physician
  • Honolulu, HI
National Provider Identifier
1801823398
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
10159 Issued in HI
Practice address
321 N Kuakini St
Ste 612
Honolulu, HI 96817-2361
Phone
(808) 523-7577
Fax
(808) 533-7141
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 76826 AZ
Urology Physician 208800000X 10159 HI Primary

Addresses

Primary practice location

321 N Kuakini St
Ste 612
Honolulu, HI 96817-2361

Mailing address

321 N Kuakini St Ste 612
Honolulu, HI 96817-2361
Phone (808) 523-7577

Other practice location 1

5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (928) 402-1131

Other practice location 2

5994 S Hospital Dr
Globe, AZ 85501-9462
Phone (928) 425-7108

Other identifiers 2

IdentifierTypeStateIssuer
087856-01MedicaidHI
248542MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, MN, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100809000379 HI Practitioner - Urology 7719878180 Reassigns benefits to 2 organizations
I20231226000934 MN Practitioner - Urology 7719878180 Reassigns benefits to 1 organization
I20251113003920 AZ Practitioner - Urology 7719878180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
George Washington University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Straub Clinic and HospitalGroup PAC ID 6305759754, 420 clinicians

Practice addresses (Care Compare)

1233 34TH St NW
Bemidji, MN 56601-5112
Phone (218) 333-5522

1300 Anne St NW
Bemidji, MN 56601-5103
Phone (218) 333-5000

1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000

5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (928) 425-3247

5990 S Hospital Dr
Globe, AZ 85501-9462
Phone (928) 425-8151

5994 S Hospital Dr
Globe, AZ 85501-9462
Phone (928) 425-7108

98 -1079 Moanalua Rd
Suite 600
Aiea, HI 96701-4716
Phone (808) 485-3032

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.56 of 100Reported as group
Quality
74.25
Promoting interoperability
100
Improvement activities
40
Cost
76.16

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
67.55
Promoting interoperability
100
Improvement activities
40
Cost
78.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76826AZMDUrology Physician
10159HIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health of Northern Minnesota CurrentSince Nov 14, 2023 Accepting new patients
Pali Momi Medical Center CurrentSince Jan 1, 2016 Accepting new patients
Straub Clinic & Hospital CurrentSince Sep 14, 2015 Accepting new patients
Cobre Valley Regional Medical Center CurrentSince Sep 29, 2025 Accepting new patients
Sanford Health of Northern Minnesota Family Medicine Current Accepting new patients
Pali Momi Medical Center CurrentSince Jan 1, 2016 Accepting new patients
Cobre Valley Regional Medical Center CurrentSince Nov 12, 2025 Accepting new patients
Sanford Health of Northern Minnesota Family Medicine CurrentSince Nov 14, 2023 Accepting new patients
Cobre Valley Regional Medical Center CurrentSince Sep 29, 2025 Accepting new patients
Straub Clinic & Hospital CurrentSince Sep 14, 2015 Accepting new patients
Straub Clinic & Hospital Past Accepting new patients

Locations

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

5994 S Hospital Dr
Globe, AZ 85501
Phone (928) 425-7108

5990 S Hospital Dr
Globe, AZ 85501
Phone (520) 402-9319

1134 W US Highway 60
Superior, AZ 85173
Phone (520) 689-2423

98-1079 Moanalua Rd
Ste 480
Aiea, HI 96701
Phone (808) 487-8922

98-1079 Moanalua Rd
Ste 600
Aiea, HI 96701
Phone (808) 485-3032

98-151 Pali Momi St
Ste 142
Aiea, HI 96701
Phone (808) 483-6400

98-1079 Moanalua Rd
Ste 680
Aiea, HI 96701
Phone (808) 485-4250

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

Organizations & group practices 11

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1801823398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 612",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172361",
            "telephone_number": "808-523-7577",
            "fax_number": "808-533-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "STE 612",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172361",
            "telephone_number": "808-523-7577",
            "fax_number": "808-533-7141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5880 S Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Globe",
            "state": "AZ",
            "postal_code": "855019447",
            "country_code": "US",
            "telephone_number": "928-402-1131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5994 S Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Globe",
            "state": "AZ",
            "postal_code": "855019462",
            "country_code": "US",
            "telephone_number": "928-425-7108",
            "fax_number": "928-425-7925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHARLES",
        "middle_name": "OCK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "76826",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "HI",
            "license": "10159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087856-01",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248542",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.