Individual provider Active NPI

Eric Hwan Kim, MD

  • Urology Physician
  • Reno, NV
National Provider Identifier
1992068019
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25363 Issued in NV
Practice address
75 Pringle Way Ste 706
Reno, NV 89502-1472
Phone
(775) 982-5000
Fax
(775) 982-3900
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25363 NV Primary

Addresses

Primary practice location

75 Pringle Way Ste 706
Reno, NV 89502-1472

Mailing address

1155 Mill St # M14
Reno, NV 89502-1576
Phone (775) 982-5262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NV2 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

Enrollment IDStateProvider typePAC IDDetails
I20201202001280 IL Practitioner - Urology 6406085786 Reassigns benefits to 1 organization
I20240429002074 NV Practitioner - Urology 6406085786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Washington University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

75 Pringle Way
Suite 706
Reno, NV 89502-1472
Phone (775) 982-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25363NVMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC Current Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Nov 13, 2020 Accepting new patients
Washington University Physicians in Illinois, Inc Current Accepting new patients
Community Care Services LLC CurrentSince Apr 15, 2024 Accepting new patients
Community Care Services LLC CurrentSince Apr 15, 2024 Accepting new patients
Washington University Physicians in Illinois, Inc. CurrentSince Nov 13, 2020 Accepting new patients
Community Care Services LLC Urology Past Accepting new patients
Barnes Jewish Hospital Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Barnes Jewish Hospital Past Accepting new patients
Barnes Jewish West County Hospital Past Accepting new patients
Community Care Services LLC Past Accepting new patients

Locations

1418 Cross St
Ste 180
Shiloh, IL 62269
Phone (618) 607-1340

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-1700

4921 Parkview Pl
Ste 11C
Saint Louis, MO 63110

4240 Duncan Ave
Ste 301
Saint Louis, MO 63110

1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970

75 Pringle Way
Ste 706
Reno, NV 89502
Phone (775) 784-5975

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

Interoperability endpoints

  • Direct secure messaging: ekim204569@direct.renown.org
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 12

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 6

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1992068019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # M14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY STE 706",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021472",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ERIC",
        "middle_name": "HWAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NV",
            "license": "25363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.