DONG HYUN KIM
NPI 1245056191
Physical Therapist in Camarillo, CA
About Dong Hyun Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONG HYUN KIM (NPI 1245056191) is an individual physical therapist in Camarillo, California, licensed in California (307146) and active in the NPI registry since November 2024.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dong Hyun Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dong Hyun Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Temecula, CA 92590
- Reassigned Medicare billing, California enrollment
- 295 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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dong Hyun Kim's NPI number?
The NPI number for Dong Hyun Kim is 1245056191. It was assigned to this individual provider in the NPPES registry on November 25, 2024.
Where is Dong Hyun Kim located?
Dong Hyun Kim practices at 450 Rosewood Ave Ste 105, Camarillo, CA 93010. The listed phone number is (805) 389-4781.
What is Dong Hyun Kim's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Dong Hyun Kim enrolled in Medicare?
Yes. Dong Hyun Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dong Hyun Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dong Hyun Kim reassigns Medicare benefits to Mdrs Spine & Sport, Inc (Temecula, CA). 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 Dong Hyun Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dong Hyun Kim was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.