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DR. WON S KIM MD NPI 1205816618


NPI Information

NPI: 1205816618
Provider Name: DR. WON S KIM, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
815 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104
Phone: (817) 321-0312
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DR. Won S Kim, MD is a diagnostic radiology radiology in Fort Worth, TX with 46 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Won S Kim, MD NPI is 1205816618. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1978

The provider's business location address is:

815 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104-224
Phone: (817) 321-0312
Fax: (817) 317-7033

The NPI 1205816618 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct scan head or brain (HCPCS:70450)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of face (HCPCS:70486)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)

The enumeration date for this NPI number is 1/20/2006 and was last updated on 8/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody ImagingH1603TEXASNo
22085N0700XRadiologyNeuroradiologyH1603TEXASNo
32085N0904XRadiologyNuclear RadiologyH1603TEXASNo
42085P0229XRadiologyPediatric RadiologyH1603TEXASNo
52085R0204XRadiologyVascular & Interventional RadiologyH1603TEXASNo
62085U0001XRadiologyDiagnostic UltrasoundH1603TEXASNo
72085R0202XRadiologyDiagnostic RadiologyH1603TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
183R713MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2C17866MEDICARE UPINTEXAS
3137784808MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.