EDDIE JIHOON KIM MD
NPI 1235428525
Emergency Medicine in Henderson, NV
About Eddie Jihoon Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDDIE JIHOON KIM MD (NPI 1235428525) is an individual emergency medicine provider in Henderson, Nevada, licensed in Nevada (15231) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of State University Of New York At Buffalo School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
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
Eddie Jihoon Kim Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Eddie Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Port Jefferson, NY 11777
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1104913748 (New York), NPI 1467249334 (New York)
- 10 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.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
John T Mather Memorial Hospital Of Port Jefferson
Acute Care Hospitals · Port Jefferson, NYPhysician 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HENDERSON, NV 89052
HENDERSON, NV 89052
HENDERSON, NV 89052
HENDERSON, NV 89052
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 Eddie Kim's NPI number?
The NPI number for Eddie Kim is 1235428525. It was assigned to this individual provider in the NPPES registry on April 7, 2011.
Where is Eddie Kim located?
Eddie Kim practices at 2380 W Horizon Ridge Pkwy Suite 110, Henderson, NV 89052. The listed phone number is (702) 823-4255.
What is Eddie Kim's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Eddie Kim enrolled in Medicare?
Yes. Eddie 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.
Which organizations bill Medicare for Eddie Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eddie Kim reassigns Medicare benefits to 2 organizations: North Shore-Lij Medical PC (Great Neck, NY) and John T Mather Memorial Hospital (Port Jefferson, NY). Each 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 Eddie Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Eddie Kim affiliated with any hospitals?
According to CMS data, Eddie Kim is affiliated with John T Mather Memorial Hospital Of Port Jefferson.
When was this NPI record last updated?
The NPPES record for Eddie Kim was last updated on January 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Eddie Jihoon Kim, MD · NPI 1235428525
Emergency Medicine physician in Henderson, Nevada. Individual provider, active in the CMS NPPES registry since April 7, 2011.
## Identity
- **NPI:** 1235428525 (Entity type: Individual)
- **Enumerated:** April 7, 2011
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 15231 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 2380 W HORIZON RIDGE PKWY, SUITE 110, Henderson, NV 89052-5078
- **Phone:** (702) 823-4255
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); John T Mather Memorial Hospital (NPI 1265844716, Port Jefferson, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Buffalo School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** January 24, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1235428525) · Data from the CMS NPPES public registry.