DR. WARREN TACKHOON KIM M.D., PH.D.
NPI 1063532778
Radiology - Vascular & Interventional Radiology in San Francisco, CA

Active since March 29, 2007PECOS EnrolledAccepts Medicare Assignment
1100 VAN NESS AVE, SAN FRANCISCO, CA 94109(415) 600-0528(415) 369-1207 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2021, Dec 3, 2020, Nov 17, 2015 (3 updates tracked since 2015).

About Dr. Warren Tackhoon Kim M.d., Ph.d. NPPES

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

DR. WARREN TACKHOON KIM M.D., PH.D. (NPI 1063532778) is an individual vascular & interventional radiology provider in San Francisco, California, licensed in California (A91921) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Yale University School Of Medicine (2003).

NPPES Registry Identity

NPI1063532778
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. WARREN TACKHOON KIMCredential: M.D., PH.D.
Location Address1100 VAN NESS AVESan Francisco, CA 94109-6978
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (415) 600-0528 · Fax (415) 369-1207
Fax(415) 369-1207
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2003
Enumeration DateMarch 29, 2007
Last NPPES UpdateJanuary 11, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2021
NPI 1063532778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in CA · A91921
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 893219 (CA), A91921 (CA)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 893219 (CA), A91921 (CA)
1100 VAN NESS AVE, San Francisco, CA 94109

Secondary Practice Location 1

Location 145 Castro Street, California Advanced Imaging Medical AssociatesSan Francisco, CA 94114 · Phone (415) 600-7760 · Fax (415) 600-7765

Other Identifiers 3

OtherP01266715CA · Railroad Medicare
OtherA91921CA · State Medical License
Medicaid1063532778CA

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

Dr. Warren Tackhoon Kim M.d., Ph.d. 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 ID8224188024
PECOS Enrollment IDI20090617000413
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
65 services39 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
25 services23 patients
Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist 36224
This procedure involves placing a small tube into your neck artery. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, reviews the process to ensure accuracy and safety.
21 services20 patients
3d radiographic procedure with computerized image postprocessing 76377
A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.
16 services13 patients
Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance 61645
This procedure involves removing a blood clot from a head artery. A special imaging technique called fluoroscopy is used for guidance. Additionally, an injection is given to help dissolve any remaining clot. This helps restore normal blood flow to the brain.
15 services14 patients
Insertion of tube into brain artery for diagnosis or treatment with review by radiologist 36226
This procedure involves inserting a thin tube into a brain artery. It aids in diagnosing or treating brain conditions. A radiologist reviews the process to ensure accuracy and safety. It's a critical step in managing brain health effectively.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Registered Nurse (Critical Care Medicine)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Obstetrics & Gynecology
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Psychiatry & Neurology (Neurology)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Neurological Surgery
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Physical Medicine & Rehabilitation
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Nurse Practitioner (Family)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109

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 Warren Kim's NPI number?

The NPI number for Warren Kim is 1063532778. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Warren Kim located?

Warren Kim practices at 1100 Van Ness Ave, San Francisco, CA 94109. The listed phone number is (415) 600-0528.

What is Warren Kim's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Warren Kim enrolled in Medicare?

Yes. Warren 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.

When was this NPI record last updated?

The NPPES record for Warren Kim was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.