KITAE KIM MD
NPI 1033188289
Surgery - Surgical Critical Care in Las Vegas, NV
About Kitae Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KITAE KIM MD (NPI 1033188289) is an individual surgical critical care provider in Las Vegas, Nevada, licensed in Nevada (11567) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of State University Of New York Downstate Medical Center (1997).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kitae Kim Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
8Medicare enrollment records show Kitae Kim reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bullhead City, AZ 86442
- Reassigned Medicare billing, Arizona enrollment
- 52 clinicians in this Medicare group
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- 538 clinicians in this Medicare group
Elko, NV 89801
- Reassigned Medicare billing, Nevada enrollment
- 50 clinicians in this Medicare group
Reno, NV 89521
- Reassigned Medicare billing, Nevada enrollment
- Medicare enrollment name: Usa Vein Clinics Of Nevada PLLC
- 7 clinicians in this Medicare group
Ogden, UT 84405
- Reassigned Medicare billing, Utah enrollment
- 5 clinicians in this Medicare group
Kent, WA 98031
- Reassigned Medicare billing, Washington enrollment
- 4 clinicians in this Medicare group
Bellevue, WA 98004
- Reassigned Medicare billing, Washington enrollment
- 3 clinicians in this Medicare group
Seattle, WA 98125
- Reassigned Medicare billing, Washington enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kitae Kim's NPI number?
The NPI number for Kitae Kim is 1033188289. It was assigned to this individual provider in the NPPES registry on March 17, 2006.
Where is Kitae Kim located?
Kitae Kim practices at 3061 S Maryland Pkwy Ste 104, Las Vegas, NV 89109. The listed phone number is (702) 629-3771.
What is Kitae Kim's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.
Is Kitae Kim enrolled in Medicare?
Yes. Kitae Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kitae Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kitae Kim reassigns Medicare benefits to 8 organizations: Bullhead City Clinic Corp (Bullhead City, AZ), Banner Physician Specialists Arizona LLC (Phoenix, AZ), Northeastern Nevada Physician Practices LLC (Elko, NV), Christopher Morrison MD PLLC (Reno, NV), Usa Vein Clinics Of Utah LLC (Ogden, UT) and 3 more organizations, listed in the Medicare section above. Each 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 Kitae Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kitae Kim accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska and 3 other insurers list Kitae Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kitae Kim was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Kitae Kim, MD · NPI 1033188289
Surgical Critical Care physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since March 17, 2006.
## Identity
- **NPI:** 1033188289 (Entity type: Individual)
- **Enumerated:** March 17, 2006
- **Primary specialty:** Surgery - Surgical Critical Care · taxonomy 2086S0102X
- **State license:** 11567 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 3061 S MARYLAND PKWY STE 104, Las Vegas, NV 89109-6226
- **Phone:** (702) 629-3771 · **Fax:** (702) 438-6666
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Bullhead City Clinic Corp (NPI 1962429878, Bullhead City, AZ); Banner Physician Specialists Arizona LLC (NPI 1033730429, Phoenix, AZ); Northeastern Nevada Physician Practices LLC (NPI 1730408949, Elko, NV); Christopher Morrison MD PLLC (NPI 1245084888, Reno, NV); Usa Vein Clinics Of Utah LLC (NPI 1225640717, Ogden, UT); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York Downstate Medical Center, class of 1997
## Record status
- **NPPES last updated:** April 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033188289) · Data from the CMS NPPES public registry.