ROBERT D. KIM M.D. – NPI #1780620096
Internal Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Health Care Provider Taxonomy Code for Internal Medicine

ROBERT KIM is a physician located in PORTLAND, OR. NPPES has assigned the NPI number 1780620096 to ROBERT KIM on June 22, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 4 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine

The NPI profile was previously updated about 5 years ago on Jan 14, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROBERT KIM below.

NPI Profile for
ROBERT D. KIM

NPI Number
1780620096
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ROBERT D. KIM
Credentials
M.D.
Primary location
9427 SW BARNES RD STE 296
PORTLAND, OR 97225-6667
Phone: (503) 297-3778 Fax: (503) 297-7853
4 Other location(s):
879 Providence Dr
Newberg, OR 97132-7563
Phone: (503) 297-3778
Fax: (503) 297-7853
16770 SW Edy Rd Ste 216
Sherwood, OR 97140-9679
Phone: (503) 297-3778
Fax: (503) 297-7853
19250 SW 65th Ave Ste 135
Tualatin, OR 97062-7745
Phone: (503) 692-8560
Fax: (503) 692-8562
1836 South Ave
LA Crosse, WI 54601-5429
Phone: (608) 782-7300
Mailing address
847 NE 19TH AVE
SUITE 300
PORTLAND, OR 97232-2684
Phone: (503) 963-2801 Fax: (503) 963-2825
Sole Proprietor
No
Updated
Certification Date
Jan 14, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ROBERT KIM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOR500609710
MEDICAIDWA2017147
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0200X
- Internal Medicine / Critical Care Medicine (Primary)		 WI 48138
207RP1001X
- Internal Medicine / Pulmonary Disease		 OR MD126279

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE - Graduated 2002
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ROBERT KIM is affiliated with the following medical group(s):
  • HOSPITAL
    • LEGACY GOOD SAMARITAN MEDICAL CENTER
      1015 NW 22ND AVENUE, W121
      PORTLAND, OR 97210
    • LEGACY MOUNT HOOD MEDICAL CENTER
      24800 SE STARK STREET
      GRESHAM, OR 97030
    • PROVIDENCE MISSION HOSPITAL
      27700 MEDICAL CENTER RD
      MISSION VIEJO, CA 92691

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If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.