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DONG S. KIM, M.D., INC
NPI 1013027465
Internal Medicine in Moreno Valley, CA

Active since August 30, 2006
11441 HEACOCK ST, STE. F, MORENO VALLEY, CA 92557(951) 243-8000(951) 243-9707 Get Directions Write a Review

NPPES record last updated: June 26, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dong S. Kim, M.d., Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONG S. KIM, M.D., INC (NPI 1013027465) is a healthcare organization registered as an internal medicine in Moreno Valley, California and active in the NPI registry since August 2006. The organization lists Dong Soo Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1013027465
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDONG S. KIM, M.D., INC
Location Address11441 HEACOCK ST, STE. FMoreno Valley, CA 92557-7907
Mailing Address11441 Heacock St, Ste. FMoreno Valley, CA 92557-7907 · (951) 243-8000 · Fax (951) 243-9707
Phone(951) 243-8000
Fax(951) 243-9707
Organization SubpartNo
Authorized OfficialDong Soo KimOwner · (951) 243-8000
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 26, 2015
✔ NPI 1013027465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A48273
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11441 HEACOCK ST, Moreno Valley, CA 92557
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Other Identifiers 4

Medicaid1013027465CA
OtherA48273CA · Licence
Medicare UPINE91494CA
Medicare PINBR903ACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dong S. Kim, M.d., Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dong S. Kim, M.D., Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dong Kim, M.D.
Internal Medicine
NPI 1942267992
11441 HEACOCK ST STE F
Moreno Valley, CA 92557
(951) 243-8000
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dong S. Kim, M.D., Inc's NPI number?

The NPI number for Dong S. Kim, M.D., Inc is 1013027465. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Dong S. Kim, M.D., Inc located?

Dong S. Kim, M.D., Inc is located at 11441 Heacock St Ste. F, Moreno Valley, CA 92557. The listed phone number is (951) 243-8000.

What is Dong S. Kim, M.D., Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dong S. Kim, M.D., Inc enrolled in Medicare?

Yes. Dong S. Kim, M.D., Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dong S. Kim, M.D., Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Dong S. Kim, M.D., Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dong S. Kim, M.D., Inc was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.