Individual provider Active NPI

Thomas Kim, M.D.

  • Psychiatry Physician
  • Reno, NV
National Provider Identifier
1851401053
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
10920 Issued in NV
Practice address
401 W 2ND St Ste 216
Reno, NV 89503-5353
Phone
(775) 784-6388
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 10920 NV Primary

Addresses

Primary practice location

401 W 2ND St Ste 216
Reno, NV 89503-5353

Mailing address

401 W 2ND St Ste 235F
Reno, NV 89503-5353
Phone (775) 327-2019

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040608000059 NV Practitioner - Psychiatry 9931182458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Saint Louis University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of NevadaGroup PAC ID 9234022153, 57 clinicians

Practice addresses (Care Compare)

215 W Bridge St
Suite 5
Yerington, NV 89447-2544
Phone (775) 463-3191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10920NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada Current Accepting new patients
State of Nevada CurrentSince Oct 14, 2016 Accepting new patients
State of Nevada CurrentSince Oct 14, 2016 Accepting new patients
State of Nevada Past Accepting new patients
State of Nevada Past Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

1665 Old Hot Springs Rd
Ste 150
Carson City, NV 89706
Phone (775) 687-0870

1825 Pinion Rd
Ste A
Elko, NV 89801
Phone (775) 738-8021

1675 Avenue F
Ely, NV 89301
Phone (775) 288-9167

141 Keddie St
Fallon, NV 89406
Phone (775) 423-7141

415 US Highway 95A S
Bldg 1
Fernley, NV 89408
Phone (775) 575-7744

1528 US Highway 395 N
Ste 100
Gardnerville, NV 89410
Phone (775) 687-2160

240 S Humahuaca St
Pahrump, NV 89048
Phone (775) 751-7406

475 W Haskell St
Winnemucca, NV 89445
Phone (775) 623-6580

215 W Bridge St
Ste 5
Yerington, NV 89447
Phone (775) 463-3191

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1851401053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W 2ND ST STE 235F",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895035353",
            "telephone_number": "775-327-2019",
            "fax_number": "775-327-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W 2ND ST STE 216",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895035353",
            "telephone_number": "775-784-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "10920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.