Richard Kyungho Kim, MD is a medicare enrolled "Neurological Surgery" physician in Anderson, Indiana. He went to Rutgers R W Johnson Medical School (cam/new Bruns/pisc) and graduated in 2007 and has 17 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Community Physicians Of Indiana Inc and his current practice location is
1210 Medical Arts Blvd Ste 217b, Anderson, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 298-4470.
Richard Kyungho Kim is licensed to practice in Indiana (license number 01074190A) 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 1790927580.
Physician's Profile
Full Name | Richard Kyungho Kim |
---|
Gender | Male |
---|
Speciality | Neurosurgery |
---|
Experience | 17 Years |
---|
Location | 1210 Medical Arts Blvd Ste 217b, Anderson, Indiana |
---|
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Richard Kyungho Kim attended and graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 2007
NPI Data:
- NPI Number: 1790927580
- Provider Enumeration Date: 03/25/2009
- Last Update Date: 09/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 7315162427
- Enrollment ID: I20140703001362
Medical Identifiers
Medical identifiers for Richard Kyungho Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790927580 | NPI | - | NPPES |
300054280 | Medicaid | IN | |
MT190323 | Other | PA | STATE OF PA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | MT190323 (Pennsylvania) | Secondary |
207T00000X | Neurological Surgery | 55280 (Colorado) | Secondary |
207T00000X | Neurological Surgery | 01074190A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Community Physicians Of Indiana Inc | 1759416662 | 1292 |
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. Richard Kyungho Kim allows following entities to bill medicare on his behalf.
Entity Name | Community Physicians Of Indiana Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
---|
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. Richard Kyungho 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 Address | Practice Location Address |
Richard Kyungho Kim, MD 499 E Hampden Ave #220, Englewood, CO 80113-2792 Ph: (303) 783-8844 | Richard Kyungho Kim, MD 1210 Medical Arts Blvd Ste 217b, Anderson, IN 46011-3461 Ph: (765) 298-4470 |
Reviews and Comments