Active NPI
Dooho Brian Kim, MD
- Ophthalmology Physician
- Dalton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 058533
- Practice address
- 1111 Professional Blvd
Dalton, GA 30720-2588 - Phone
- (705) 226-2020
- Fax
- (706) 217-2876
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 058533 | GA | Primary |
| Ophthalmology Physician | 207W00000X | MD026175 | LA |
Addresses
Primary practice location
1111 Professional Blvd
Dalton, GA 30720-2588
Mailing address
1111 Professional Blvd
Dalton, GA 30720-2588
Phone (705) 226-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 587823919A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Louisiana State University School of Medicine in New Orleans, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Professional Blvd
Dalton, GA 30720-2588
Phone (706) 226-2020
Hospital & facility affiliations
- Hamilton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.41 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 78.03
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 638 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD026175 | LA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Eye Associates, Inc. | Ophthalmology | Current | Accepting new patients |
| Professional Eye Associates, Inc. | Current | Accepting new patients | |
| Professional Eye Associates, Inc. | Past | Accepting new patients | |
| Professional Eye Associates, Inc. | Past | Accepting new patients | |
| Professional Eye Associates, Inc. | Ophthalmology | Past | Accepting new patients |
Locations
101 Professional Ct SE
Calhoun, GA 30701
Phone (404) 783-5975
113 W Pine St
Chatsworth, GA 30705
Phone (706) 226-2020
1111 Professional Blvd
Dalton, GA 30720
Phone (404) 226-2232
2498 Lafayette Rd
Ft Oglethorpe, GA 30742
Phone (706) 866-2020
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.
-
- Ophthalmology Physician
- Dalton, GA
- NPI 1699777862
-
- Eyewear Supplier
- Chatsworth, GA
- NPI 1578079869
-
- Eyewear Supplier
- Fort Oglethorpe, GA
- NPI 1174988232
-
- Ambulatory Surgical Clinic/Center
- Dalton, GA
- NPI 1467456442
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Psychiatric Hospital Unit
- Dalton, GA
- NPI 1760645782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228435200000",
"number": "1992844864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 PROFESSIONAL BLVD",
"city": "DALTON",
"state": "GA",
"postal_code": "307202588",
"telephone_number": "705-226-2020",
"fax_number": "706-217-2876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 PROFESSIONAL BLVD",
"city": "DALTON",
"state": "GA",
"postal_code": "307202588",
"telephone_number": "705-226-2020",
"fax_number": "706-217-2876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DOOHO",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2008-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "058533",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "LA",
"license": "MD026175",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "587823919A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.