Shin Y Kim, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

9770 Issued in NV

Practice address

645 N Arlington Ave
Suite 250a
Reno, NV 89503-4460

Phone

(775) 329-7707

NPI assigned

Sep 26, 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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: shin.kim.p1@direct.smmg.nextgenshare.com

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.

• Radiology Consultants, LTD.

  • Diagnostic Radiology Physician
  • Reno, NV
  • NPI 1285735571
  Medicare reassignment NPD Authorized official
• Saint Marys Medical Group Inc.

  • Primary Care Clinic/Center
  • Reno, NV
  • NPI 1538424239

  Diagnostic Radiology

  NPD
• Saint Marys Urgent Care LLC

  • Multi-Specialty Clinic/Center
  • Reno, NV
  • NPI 1275898975
  NPD
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)
• Radiology Associates LLP

  • Diagnostic Radiology Physician
  • Corpus Christi, TX
  • NPI 1558311340
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391299200000",
    "number": "1821199068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21568",
            "address_2": "DEPT 284",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74121",
            "telephone_number": "800-915-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N ARLINGTON AVE",
            "address_2": "SUITE 250A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034460",
            "telephone_number": "775-329-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SHIN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "9770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016821",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hosang Kim
• Jesse Kim, DPT
• Kyung Min Kim, D.D.S.
• Patrick Kim, RPH
• Robert Kay Kim
• Thomas Kim, M.D.
• Yee Jung Kim, MD
• Keneisha Ruby Kimbell
• Matthew Kimber
• Kimberlee Charles, MD, LLC

• Diagnostic Radiology Physician in Reno, NV
• Providers in Reno, NV by specialty
• Diagnostic Radiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.