JOHN KIM DO
NPI 1104209550
Hospitalist in Henderson, NV

Active since July 02, 2015PECOS EnrolledAccepts Medicare Assignment
3001 SAINT ROSE PKWY, HENDERSON, NV 89052(702) 492-8592(702) 492-8045 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2024, Nov 13, 2023, Jul 15, 2020 and 3 more (6 updates tracked since 2017).

About John Kim Do NPPES

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

JOHN KIM DO (NPI 1104209550) is an individual hospitalist provider in Henderson, Nevada, licensed in Nevada (DO3595) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Saint Rose Dominican Hospitals - Rose De Lima, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104209550
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJOHN KIMCredential: DO
Location Address3001 SAINT ROSE PKWYHenderson, NV 89052-3839
Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358
Fax(702) 492-8045
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 2, 2015
Last NPPES UpdateJune 24, 20266 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
NPI 1104209550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NV · DO3595
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License DO3595 (NV)
3001 SAINT ROSE PKWY, Henderson, NV 89052

Secondary Practice Locations 2

Location 1102 E Lake Mead PkwyHenderson, NV 89015-5575 · Phone (702) 492-8592 · Fax (702) 492-8045
Location 28280 W Warm Springs RdLas Vegas, NV 89113-3612 · Phone (702) 492-8000

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

John Kim Do 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 ID9830435593
PECOS Enrollment IDI20240614003057
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
248 services121 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
126 services119 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
59 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services28 patients

Hospital Affiliations CMS Care Compare 4

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

Saint Rose Dominican Hospitals - Rose De Lima

Acute Care Hospitals · Henderson, NV
OwnershipVoluntary non-profit - Private
CMS Certification Number290012
Location102 E Lake Mead DrHenderson, NV 89015 · Clark County
Emergency services

Saint Rose Dominican Hospitals - Siena Campus

Acute Care Hospitals · Henderson, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290045
Location3001 St Rose ParkwayHenderson, NV 89052 · Clark County
Emergency services Birthing friendly

Saint Rose Dominican Hospitals - San Martin Campus

Acute Care Hospitals · Las Vegas, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290053
Location8280 W Warm Springs RoadLas Vegas, NV 89113 · Clark County
Emergency services Birthing friendly

Saint Rose Dominican Hospitals - North Las Vegas

Acute Care Hospitals · North Las Vegas, NV
OwnershipProprietary
CMS Certification Number290058
Location1550 W Craig RanchNorth Las Vegas, NV 89031 · Clark County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89052 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier64 claims64 services$12.49 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers78 claims78 services$60.24 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$32.57 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier26 claims26 services$168.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine
3001 SAINT ROSE PKWY
HENDERSON, NV 89052
Pharmacist (Pharmacotherapy)
3001 SAINT ROSE PKWY
HENDERSON, NV 89052
Emergency Medicine
3001 SAINT ROSE PKWY
HENDERSON, NV 89052
Emergency Medicine
3001 SAINT ROSE PKWY
HENDERSON, NV 89052
Pharmacist (Pharmacotherapy)
3001 SAINT ROSE PKWY
HENDERSON, NV 89052
Pediatrics (Pediatric Critical Care Medicine)
3001 SAINT ROSE PKWY
HENDERSON, NV 89052
Registered Nurse
3001 SAINT ROSE PKWY
HENDERSON, NV 89052
Internal Medicine
3001 SAINT ROSE PKWY
HENDERSON, NV 89052

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 John Kim's NPI number?

The NPI number for John Kim is 1104209550. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Where is John Kim located?

John Kim practices at 3001 Saint Rose Pkwy, Henderson, NV 89052. The listed phone number is (702) 492-8592.

What is John Kim's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is John Kim enrolled in Medicare?

Yes. John 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.

Is John Kim affiliated with any hospitals?

According to CMS data, John Kim is affiliated with Saint Rose Dominican Hospitals - Rose De Lima, Saint Rose Dominican Hospitals - Siena Campus, Saint Rose Dominican Hospitals - San Martin Campus and Saint Rose Dominican Hospitals - North Las Vegas.

When was this NPI record last updated?

The NPPES record for John Kim was last updated on June 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.