ANDREW KIM D.O. PLLC NPI 1417100918

NPI Information

  • NPI: 1417100918
  • Provider Name: ANDREW KIM, D.O., PLLC
  • Classification: Physical Medicine & Rehabilitation - 2081P2900X
  • Specialization: Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2800 E DESERT INN RD STE 100
    LAS VEGAS, NV
    ZIP 89121
  • Phone: (702) 731-1616

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NPI Details

Andrew Kim, D.O., PLLC is a pain medicine physical medicine rehabilitation in Las Vegas, NV with 20 years of experience. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. Andrew Kim, D.O., PLLC NPI is 1417100918. 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:

2800 E DESERT INN RD STE 100
LAS VEGAS, NV
ZIP 89121-609
Phone: (702) 731-1616
Fax: (702) 734-4900

The NPI 1417100918 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml (HCPCS:Q9966)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64634)
  • Injection of upper or middle spine facet joint using imaging guidance, second level (HCPCS:64491)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of contrast for imaging of hip joint (HCPCS:27093)
  • Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level (HCPCS:64479)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, each additional level (HCPCS:64480)
  • Injection of trigger points, 1-2 muscles (HCPCS:20552)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • X-ray of hip, 2-3 views (HCPCS:73502)

The enumeration date for this NPI number is 10/28/2008 and was last updated on 6/26/2019.

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
12081P2900XPhysical Medicine & RehabilitationPain Medicine20A11170CALIFORNIANo
22081P2900XPhysical Medicine & RehabilitationPain MedicineM9411TEXASNo
32081P2900XPhysical Medicine & RehabilitationPain MedicineDO1610NEVADAYes
42081P2900XPhysical Medicine & RehabilitationPain Medicine11170CALIFORNIANo

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
11417100918MEDICAIDNEVADA

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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