Dr Dongsoo David Kim, DMD, MD - Medicare in Shreveport, LA

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Dr Dongsoo David Kim, DMD, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Shreveport, Louisiana. He graduated from medical school in 1998 and has 27 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Lsu Health Sciences Center Shreveport Faculty Group Practice and his current practice location is 1501 Kings Hwy, Department Of Oral Surgery, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 813-2625.

Dr Dongsoo David Kim is licensed to practice in Louisiana (license number 15055R) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821016957.

Contact Information

Dr Dongsoo David Kim, DMD, MD
1501 Kings Hwy, Department Of Oral Surgery,
Shreveport, LA 71103-4228
(318) 813-2625
(318) 813-2627

Map and Direction




Healthcare Provider's Profile

Full NameDr Dongsoo David Kim
GenderMale
SpecialityMaxillofacial Surgery
Experience27 Years
Location1501 Kings Hwy, Shreveport, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Dongsoo David Kim graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1821016957
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 08/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8325052087
  • Enrollment ID: I20060201000758

Medical Identifiers

Medical identifiers for Dr Dongsoo David Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821016957NPI-NPPES
1855421MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 5542 (Louisiana)Secondary
204E00000XOral & Maxillofacial Surgery 15055R (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ochsner Lsu Health Shreveport-st Mary Medical CentShreveport, LAHospital
Ochsner Lsu Health ShreveportShreveport, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lsu Health Sciences Center Shreveport Faculty Group Practice4082902721534

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Dongsoo David Kim allows following entities to bill medicare on his behalf.
Entity NameLouisiana State University Health Sciences Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417992249
PECOS PAC ID: 6103730908
Enrollment ID: O20031208000275
Entity NameRapides Healthcare System Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366618837
PECOS PAC ID: 0446163158
Enrollment ID: O20040412001031
Entity NameLsu Health Sciences Center Shreveport Faculty Group Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013374222
PECOS PAC ID: 4082902721
Enrollment ID: O20161012000307

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dongsoo David Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Dongsoo David Kim, DMD, MD
1501 Kings Hwy, Department Of Oral Surgery,
Shreveport, LA 71103-4228

Ph: (318) 813-2625		Dr Dongsoo David Kim, DMD, MD
1501 Kings Hwy, Department Of Oral Surgery,
Shreveport, LA 71103-4228

Ph: (318) 813-2625

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.