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DR. DAE Y KIM M.D. PH.D NPI 1003000597

NPI Profile

NPI: 1003000597
Provider Name: DR. DAE Y KIM, M.D., PH.D
Classification: Urology - 208800000X
Entity Type: Individual
Organization: AHS OKLAHOMA PHYSICIAN GROUP LLC

PECOS Registration: Yes

Address:
1145 S UTICA AVE
SUITE 202
TULSA, OK
ZIP 74104
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Phone: (918) 579-3130

DR. Dae Y Kim, M.D., PH.D is a healthcare provider in Tulsa, OK.The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Dae Y Kim, M.D., PH.D NPI is 1003000597. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

1145 S UTICA AVE
SUITE 202
TULSA, OK
ZIP 74104-000
Phone: (918) 579-3130
Fax: (918) 579-3139

The NPI 1003000597 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

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.

  • Urinalysis, manual test (HCPCS:81002)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)

The enumeration date for this NPI number is 8/28/2007 and was last updated on 7/15/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology31577OKLAHOMAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1324649801 (MDACC)MEDICAIDTEXAS
28EB319 (MDACC)OTHERTEXASBCBS
3312601YKQH (MDACC)MEDICARE PINTEXAS

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: 12/9/2018

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.