Active NPI
Hae Ran Rhim-Kim, MD
- Rheumatology Physician
- Las Vegas, NV
National Provider Identifier
1922024165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 18373
- Practice address
- 4750 W Oakey Blvd Ste 3a
Las Vegas, NV 89102 - Phone
- (702) 877-5199
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 01076328A | IN | |
| Internal Medicine Physician | 207R00000X | 01076328A | IN | |
| Rheumatology Physician | 207RR0500X | 18373 | NV | Primary |
Addresses
Primary practice location
4750 W Oakey Blvd Ste 3a
Las Vegas, NV 89102
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 877-5199
Other practice location 1
3801 Bellemeade Ave Ste 300
Evansville, IN 47714-0113
Phone (812) 485-1400
Other names 1
- Hae Ran Rhim
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01076328A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyetae Kim, MD, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Odessa, TX
- NPI 1396873170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1922024165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-877-5199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 W OAKEY BLVD STE 3A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89102",
"telephone_number": "702-877-5199"
}
],
"practiceLocations": [
{
"address_1": "3801 Bellemeade Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477140113",
"country_code": "US",
"telephone_number": "812-485-1400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RHIM-KIM",
"first_name": "HAE RAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2018-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "IN",
"license": "01076328A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01076328A",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NV",
"license": "18373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HAE RAN",
"last_name": "RHIM",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.