JAE KOUL KIM MD
NPI 1124099213
Radiology - Diagnostic Radiology in Tucson, AZ

Q: What is Jae Kim's NPI number?

The NPI number for Jae Kim is 1124099213. It was assigned to this individual provider in the NPPES registry on January 28, 2006.

Q: What is Jae 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 Jae Kim was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 January 28, 2006

4729 E SUNRISE DR # 315, TUCSON, AZ 85718(520) 429-2023 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jae Koul Kim Md NPPES

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

JAE KOUL KIM MD (NPI 1124099213) is an individual diagnostic radiology provider in Tucson, Arizona, licensed in Arizona (32890) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1124099213

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJAE KOUL KIMCredential: MD

Location Address4729 E SUNRISE DR # 315Tucson, AZ 85718-4534

Mailing Address4729 E Sunrise Dr # 315Tucson, AZ 85718-4534 · (520) 429-2023

Phone(520) 429-2023

Sole ProprietorNo

Enumeration DateJanuary 28, 2006

Last NPPES UpdateNovember 9, 2016

✔ NPI 1124099213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in AZ · 32890

Definition

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

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 32890 (AZ)

Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License 32890 (AZ)

4729 E SUNRISE DR # 315, Tucson, AZ 85718

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Other Identifiers 9

Other005472AZ · Group Medicaid Id

OtherCS7943AZ · Group Medicare Railroad Id & Ptan

OtherZWCBBMAZ · Group Medicare Id

OtherP00109556AZ · Medicare Railroad

Medicare UPINH87106

Medicare PINZ81206AZ

Other1841261989AZ · Group Npi

Other1124099213AZ · Physician Individual Npi

Medicaid861725AZ

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 Jae Kim's NPI number?

The NPI number for Jae Kim is 1124099213. It was assigned to this individual provider in the NPPES registry on January 28, 2006.

Where is Jae Kim located?

Jae Kim practices at 4729 E Sunrise Dr # 315, Tucson, AZ 85718. The listed phone number is (520) 429-2023.

What is Jae Kim's specialty?

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

When was this NPI record last updated?

The NPPES record for Jae Kim was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.