Provider Type Icon

PAUL J. KIM M.D. NPI 1629205190


NPI Information

NPI: 1629205190
Provider Name: PAUL J. KIM, M.D.
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

PECOS Registration: Yes

Address:
2895 EDINGER AVE
TUSTIN, CA
ZIP 92780
Phone: (949) 381-5800
Get Directions

Paul J. Kim, M.D. is a radiation oncology radiology in Tustin, CA with 20 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Paul J. Kim, M.D. NPI is 1629205190. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

2895 EDINGER AVE
TUSTIN, CA
ZIP 92780-257
Phone: (949) 381-5800
Fax: (949) 552-5152

The NPI 1629205190 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.

  • Radiation treatment management, 5 treatments (HCPCS:77427)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Management of radiation therapy, complex (HCPCS:77263)
  • Management of radiation therapy, simulation, complex (HCPCS:77290)
  • Radiation treatment devices, design and construction, complex (HCPCS:77334)

The enumeration date for this NPI number is 6/11/2009 and was last updated on 2/22/2017.


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
12085R0001XRadiologyRadiation OncologyA93398CALIFORNIAYes
22085R0001XRadiologyRadiation Oncology0101247041VIRGINIANo
32085R0001XRadiologyRadiation OncologyL-239140MASSACHUSETTSNo

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
1PAROTHERVIRGINIAVA HEALTH NETWORK
21629205190MEDICAIDVIRGINIA
3PAROTHERVIRGINIACIGNA
4PAROTHERVIRGINIAMULTIPLAN
5PAROTHERVIRGINIAUNITED HEALTH CARE/MAMSI
6401737OTHERVIRGINIAANTHEM BC/BS (GRESHAM DR.)
7401742OTHERVIRGINIAANTHEM BC/BS (GLENN MITCHELL DR.)
8PAROTHERVIRGINIACORVEL/CORCARE
9PAROTHERVIRGINIAAETNA
105914173MEDICAIDNORTH CAROLINA
11VAA101148MEDICARE PINVIRGINIA
12401734OTHERVIRGINIAANTHEM BC/BS (FIRST COLONIAL RD)
13PAROTHERVIRGINIAVA PREMIER HEALTH
1410059062OTHERVIRGINIAOPTIMA HEALTH
151629205190OTHERVIRGINIATRICARE
16401745OTHERVIRGINIAANTHEM BC/BS (LAKE WRIGHT DR.)
17PAROTHERVIRGINIAFIRST HEALTH COMMERCIAL/COVENTRY HEALTH/SOUTHERN HEALTH
18PAROTHERVIRGINIAUSA MANAGED CARE

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.