NPIMap

Individual provider Active NPI

Jim C Kim, MD

  • Rheumatology Physician
  • Bakersfield, CA
National Provider Identifier
1992762769
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A067383 Issued in CA
Practice address
2203 17TH St
Bakersfield, CA 93301-3634
Phone
(661) 716-0333
Fax
(661) 716-1288
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A067383 CA Primary

Addresses

Primary practice location

2203 17TH St
Bakersfield, CA 93301-3634

Mailing address

2203 17TH St
Bakersfield, CA 93301-3634
Phone (661) 716-0333

Other identifiers 1

IdentifierTypeStateIssuer
P00370464OtherCAMCR RAILROAD PROVIDER #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jim.kim@direct.rheum.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061222000266 CA Practitioner - RheumatologyPractitioner - Internal Medicine 9032119037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Loma Linda University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jim C Kim MD IncGroup PAC ID 1254331218, 2 clinicians

Practice addresses (Care Compare)

2203 17TH St
Bakersfield, CA 93301-3634
Phone (661) 716-0333

Hospital & facility affiliations

  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036
  • Adventist Health Tehachapi Valley Hospital, Tehachapi, CA, CCN 051301
  • Adventist Health Delano Hospital, Delano, CA, CCN 050608
  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333

Merit-based Incentive Payment System (MIPS)

Final score
88.24 of 100Reported as group
Quality
98.24
Promoting interoperability
100
Improvement activities
40
Cost
45.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A067383CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jim C. Kim, M.D., Inc Rheumatology CurrentSince Nov 14, 2006 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients

Locations

2203 17th St
Bakersfield, CA 93301
Phone (661) 327-5037

3737 San Dimas St
Ste 101
Bakersfield, CA 93301
Phone (661) 327-5037

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

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

Organizations & group practices 4

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1992762769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 17TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013634",
            "telephone_number": "661-716-0333",
            "fax_number": "661-716-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 17TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013634",
            "telephone_number": "661-716-0333",
            "fax_number": "661-716-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JIM",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A067383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RAILROAD PROVIDER #",
            "identifier": "P00370464",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jim.kim@direct.rheum.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2203 17th St",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933013634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.