Jae Koul Kim, MD - Radiology in Tucson, AZ

Jae Koul Kim, MD is a Radiology - Diagnostic Radiology physician based in Tucson, Arizona. Jae Koul Kim is licensed to practice in Arizona (license number 32890) and his current practice location is 4729 E Sunrise Dr # 315, Tucson, Arizona. He can be reached at his office (for appointments etc.) via phone at (520) 429-2023.

NPI number for Jae Koul Kim is 1124099213 and his current mailing address is 4729 E Sunrise Dr # 315, Tucson, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124099213.

Contact Information

Jae Koul Kim, MD
4729 E Sunrise Dr # 315,
Tucson, AZ 85718-4534
(520) 429-2023
Not Available

Map and Direction




Physician's Profile

Full NameJae Koul Kim
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location4729 E Sunrise Dr # 315, Tucson, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124099213
  • Provider Enumeration Date: 01/28/2006
  • Last Update Date: 11/09/2016

Medical Identifiers

Medical identifiers for Jae Koul Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124099213NPI-NPPES
1124099213OtherAZPHYSICIAN INDIVIDUAL NPI
CS7943OtherAZGROUP MEDICARE RAILROAD ID & PTAN
ZWCBBMOtherAZGROUP MEDICARE ID
005472OtherAZGROUP MEDICAID ID
1841261989OtherAZGROUP NPI
861725MedicaidAZ
P00109556OtherAZMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 32890 (Arizona)Primary
2085U0001XRadiology - Diagnostic Ultrasound 32890 (Arizona)Secondary
2085B0100XRadiology - Body Imaging 32890 (Arizona)Secondary

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. Jae Koul Kim is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jae Koul Kim, MD
4729 E Sunrise Dr # 315,
Tucson, AZ 85718-4534

Ph: (520) 429-2023
Jae Koul Kim, MD
4729 E Sunrise Dr # 315,
Tucson, AZ 85718-4534

Ph: (520) 429-2023

Reviews and Comments


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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.

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