VIRGINIA KIM M.D.
NPI 1104169119
Radiology - Diagnostic Radiology in Los Angeles, CA

Q: What is Virginia Kim's NPI number?

The NPI number for Virginia Kim is 1104169119. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Q: What is Virginia Kim's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Virginia Kim was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 28, 2013PECOS EnrolledAccepts Medicare Assignment

757 WESTWOOD PLZ STE 1638, LOS ANGELES, CA 90095(310) 267-8796(310) 267-2059 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 11, 2022, Dec 16, 2019, Dec 28, 2018 (3 updates tracked since 2018).

On this page

About Virginia Kim M.d. NPPES

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

VIRGINIA KIM M.D. (NPI 1104169119) is an individual diagnostic radiology provider in Los Angeles, California, licensed in California (A132693) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Monica, and is a graduate of Michigan State University College Of Human Medicine (2013).

NPPES Registry Identity

NPI1104169119

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameVIRGINIA KIMCredential: M.D.

Location Address757 WESTWOOD PLZ STE 1638Los Angeles, CA 90095-2004

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(310) 267-8796

Fax(310) 267-2059

Sole ProprietorYes

Medical School CMSMichigan State University College Of Human MedicineGraduated 2013

Enumeration DateMarch 28, 2013

Last NPPES UpdateFebruary 11, 20223 updates tracked since enumeration

NPPES CertifiedDecember 16, 2019

✔ NPI 1104169119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in CA · A132693

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

757 WESTWOOD PLZ STE 1638, Los Angeles, CA 90095

Open in Google Maps ↗

Secondary Practice Location 1

Location 11245 16th St Ste 100Santa Monica, CA 90404-1255 · Phone (310) 301-6800 · Fax (310) 794-9035

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

Virginia Kim M.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 ID9931457447

PECOS Enrollment IDI20180731002110

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.

Medicare Billing Reassignments

Medicare enrollment records show Virginia Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Los Angeles

3.1 mi

Public Health, State or Local

2509 PICO BLVD
Santa Monica, CA 90405

Reassigned Medicare billing, California enrollment
1,939 clinicians in this Medicare group

NPI 1235323080 (310) 998-3203

Permanente Medical Group Inc

301 mi

Internal Medicine

710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1073606299 (408) 851-1000

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

Areas of Expertise CMS Part B claims 3

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.

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

46 services45 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

34 services32 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

MISS SARAH NAGEENA KHAN MD

Radiology (Vascular & Interventional Radiology)