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KITAE KIM MD
NPI 1033188289
Surgery - Surgical Critical Care in Las Vegas, NV

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment
87.81/100
CMS Quality Rating
3061 S MARYLAND PKWY STE 104, LAS VEGAS, NV 89109(702) 629-3771(702) 438-6666 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2026, Jul 27, 2022, Jul 20, 2020 (3 updates tracked since 2020).

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, is affiliated with Northeastern Nevada Regional Hospital, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1033188289
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameKITAE KIMCredential: MD
Location Address3061 S MARYLAND PKWY STE 104Las Vegas, NV 89109-6226
Mailing Address2657 Windmill Pkwy # 685Henderson, NV 89074-3384 · (702) 629-3771 · Fax (702) 438-6666
Phone(702) 629-3771
Fax(702) 438-6666
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1997
Enumeration DateMarch 17, 2006
Last NPPES UpdateApril 23, 20263 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1033188289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
Licenses✔ Licensed in NV · 11567✔ Licensed in WA · MD61401956
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine 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.
Also ListedSurgeryTaxonomy 208600000X · License 11567 (NV), MD61401956 (WA)
3061 S MARYLAND PKWY STE 104, Las Vegas, NV 89109
Open in Google Maps ↗

Secondary Practice Location 1

Location 110564 5th Ave NE Ste 102Seattle, WA 98125-7200 · Phone (206) 508-8768 · Fax (224) 235-4652

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID446217467
PECOS Enrollment IDI20051201000096, I20230602001753
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeastern Nevada Regional Hospital

Acute Care Hospitals · Elko, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290008
Location2001 Errecart BlvdElko, NV 89801 · Elko County
Emergency services Birthing friendly

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.

87.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40
Cost61.22

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.

DR. LANCE DAVID MAYOR M.D.
Internal Medicine
3061 S MARYLAND PKWY STE 104
LAS VEGAS, NV 89109
Clark County (702) 438-5555
KITAE KIM MD LTD
Surgery (Surgical Critical Care)
3061 S MARYLAND PKWY STE 104
LAS VEGAS, NV 89109
Clark County (702) 629-3771
ALPINE HOSPITALIST GROUP LLLP
Family Medicine
3061 S MARYLAND PKWY STE 104
LAS VEGAS, NV 89109
Clark County (024) 385-5557
DOUGLAS B ROSS MD
Emergency Medicine
3061 S MARYLAND PKWY STE 104
LAS VEGAS, NV 89109
Clark County (702) 622-8895

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.

What insurance does Kitae Kim accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare 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.

Is Kitae Kim affiliated with any hospitals?

According to CMS data, Kitae Kim is affiliated with Northeastern Nevada Regional Hospital.

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 3 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.