John Kim, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

70132 Issued in WI

Practice address

2251 N Shore Dr
Rhinelander, WI 54501-6710

Phone

(715) 361-4700

NPI assigned

Apr 20, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, CA2 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 2

Specialty

Diagnostic Radiology

Education

University of Nevada School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J Paul Wiesner and Associates CharteredGroup PAC ID 4880679976, 24 clinicians

Pueblo Medical Imaging LLCGroup PAC ID 2264328319, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henderson Hospital Hospital, Henderson, NV, CCN 290057
• Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045
• West Henderson Hospital Hospital, Henderson, NV, CCN 290062
• Saint Rose Dominican Hospitals - San Martin Campus Hospital, Las Vegas, NV, CCN 290053
• North Vista Hospital Hospital, North Las Vegas, NV, CCN 290005

Merit-based Incentive Payment System (MIPS)

Final score

96.76 of 100Reported as group

Quality

91.7

Improvement activities

40

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 and National Provider Directory roles.

• J Paul Wiesner & Associates Chartered

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1487606026
  Medicare reassignment Care Compare group NPD
• Pueblo Medical Imaging, LLC

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1952353591
  Medicare reassignment Care Compare group NPD
• Advanced Imaging of South Bay, Inc.

  • Diagnostic Radiology Physician
  • Torrance, CA
  • NPI 1003866914
  Medicare reassignment NPD
• Radiology Specialists LTD Marasso-Miller

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1437196979
  Medicare reassignment NPD

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

• Dignity Health

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1528101284
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1770626426
  Care Compare affiliation
• Henderson Hospital

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1003281452
  Care Compare affiliation
• Henderson Hospital

  • Emergency Care Clinic/Center
  • Henderson, NV
  • NPI 1285490292

  Hospital

  Care Compare affiliation
• Henderson Hospital

  • Emergency Care Clinic/Center
  • Henderson, NV
  • NPI 1376198028

  Hospital

  Care Compare affiliation
• North Vista Hospital LLC

  • General Acute Care Hospital
  • North Las Vegas, NV
  • NPI 1720037799
  Care Compare affiliation
• West Henderson Hospital Medical Center LLC

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1962181172
  Care Compare affiliation

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1942654538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "address_2": "E3/311 CSC",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53792",
            "telephone_number": "608-263-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N SHORE DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545016710",
            "telephone_number": "715-361-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042307",
            "country_code": "US",
            "telephone_number": "509-474-3020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Highland Ave",
            "address_2": "E3/311 CSC",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "53792",
            "country_code": "US",
            "telephone_number": "608-263-8310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "70132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayleena Kelly, PSY.D.
• Rovena L Kessinger, MDQ
• Jean E Keuer, PT
• Angela J. Kielhold, L.P.N.
• Mark H Killian, P.T., L.A.T.
• Betty Kizirian, LPN
• Alice F Kleinhans, PA-C
• Brittany L Knetter, PT, DPT
• Angela Marie Higgins Koch, MS CCC SLP
• Kricket Lynn Koehn, D.D.S.

• Diagnostic Radiology Physician in Rhinelander, WI
• Providers in Rhinelander, WI by specialty
• Diagnostic Radiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.