YONGSUNG KIM MD
NPI 1083364889
Psychiatry & Neurology - Neurology in Portland, OR
About Yongsung Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YONGSUNG KIM MD (NPI 1083364889) is an individual neurology provider in Portland, Oregon, licensed in Oregon (MD229413) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yongsung Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Yongsung Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97201
- Reassigned Medicare billing, Oregon enrollment
- 2,212 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Loyola University Medical Center
Acute Care Hospitals · Maywood, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
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 Yongsung Kim's NPI number?
The NPI number for Yongsung Kim is 1083364889. It was assigned to this individual provider in the NPPES registry on March 25, 2022.
Where is Yongsung Kim located?
Yongsung Kim practices at 3303 S Bond Ave Bldg 1, Portland, OR 97239. The listed phone number is (503) 494-7230.
What is Yongsung Kim's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Yongsung Kim enrolled in Medicare?
Yes. Yongsung Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Yongsung Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yongsung Kim reassigns Medicare benefits to University Professional Services (Portland, OR). The 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 Yongsung Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Yongsung Kim accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Yongsung 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 Yongsung Kim affiliated with any hospitals?
According to CMS data, Yongsung Kim is affiliated with Loyola University Medical Center.
When was this NPI record last updated?
The NPPES record for Yongsung Kim was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Yongsung Kim, MD · NPI 1083364889
Neurology physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since March 25, 2022.
## Identity
- **NPI:** 1083364889 (Entity type: Individual)
- **Enumerated:** March 25, 2022
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** MD229413 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3303 S BOND AVE BLDG 1, Portland, OR 97239-4501
- **Phone:** (503) 494-7230
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Professional Services (NPI 1316354970, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083364889) · Data from the CMS NPPES public registry.