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ANDREW KIM D.O. PLLC NPI 1417100918


NPI Information

NPI: 1417100918
Provider Name: ANDREW KIM, D.O., PLLC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Individual

Specialization: Pain Medicine

Organization: DESERT ORTHOPAEDIC CENTER, LTD.

PECOS Registration: Yes

Address:
2800 E DESERT INN RD STE 100
LAS VEGAS, NV
ZIP 89121
Phone: (702) 731-1616
Get Directions

Andrew Kim, D.O., PLLC is a pain medicine physical medicine rehabilitation in Las Vegas, NV with 18 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.

  • Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)
  • Injections of substances into lower or sacral spine (HCPCS:62311)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64494)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 11/14/2023

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.