HONG SIK KIM M.D. NPI 1396727764

NPI Information

  • NPI: 1396727764
  • Provider Name: HONG SIK KIM, M.D.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 05D0943924
  • Address: 12665 GARDEN GROVE BLVD
    SUITE 503
    GARDEN GROVE, CA
    ZIP 92843
  • Phone: (714) 530-3740

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NPI Details

Hong Sik Kim, M.D. is a nephrology internal medicine in Garden Grove, CA with 43 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Hong Sik Kim, M.D. NPI is 1396727764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12665 GARDEN GROVE BLVD
SUITE 503
GARDEN GROVE, CA
ZIP 92843-901
Phone: (714) 530-3740
Fax: (714) 530-0582

The NPI 1396727764 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 CLIA number assigned to this NPI record is 05D0943924 - physician office with a certificate type of Certificate of Waiver.

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.

  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
  • Insertion of needle into vein (3 years or older) (HCPCS:36410)
  • Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Hemoglobin a1c level (HCPCS:83036)
  • Infusion into a vein for hydration, each additional hour (HCPCS:96361)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
  • Infusion into a vein for hydration, 31-60 minutes (HCPCS:96360)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Urinalysis, manual test (HCPCS:81002)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Injection, lidocaine hcl for intravenous infusion, 10 mg (HCPCS:J2001)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Nursing facility annual assessment, typically 30 minutes (HCPCS:99318)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)

The enumeration date for this NPI number is 11/18/2005 and was last updated on 11/7/2013.

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
1207RN0300XInternal MedicineNephrologyA45579CALIFORNIAYes

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
100A455792MEDICAIDCALIFORNIA
2A455792OTHERCALIFORNIAPRIVATE INSURANCES
3E98962MEDICARE UPINCALIFORNIA
4WA45579BMEDICARE PINCALIFORNIA

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: 11/21/2025

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