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DR. DONG WON KIM M.D., PH.D.
NPI 1386816262
Radiology - Radiation Oncology in Ontario, CA

Active since March 31, 2008PECOS EnrolledAccepts Medicare Assignment
2295 S VINEYARD AVE, ONTARIO, CA 91761(909) 724-2020 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dong Won Kim M.d., Ph.d. NPPES

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

DR. DONG WON KIM M.D., PH.D. (NPI 1386816262) is an individual radiation oncology provider in Ontario, California, licensed in California (A104479) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2003).

NPPES Registry Identity

NPI1386816262
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDR. DONG WON KIMCredential: M.D., PH.D.
Location Address2295 S VINEYARD AVEOntario, CA 91761-7925
Mailing AddressPo Box 51802Irvine, CA 92619-1802 · (919) 641-6207
Phone(909) 724-2020
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2003
Enumeration DateMarch 31, 2008
Last NPPES UpdateNovember 2, 2021
NPPES CertifiedNovember 2, 2021
✔ NPI 1386816262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in CA · A104479
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
2295 S VINEYARD AVE, Ontario, CA 91761
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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

Dr. Dong Won Kim M.d., Ph.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 ID1557420692
PECOS Enrollment IDI20081105000129
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91761 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
$179.42 typical visit price
range $59.60 – $179.42
Typical copayment $44.85 (range $14.90 – $44.85)
Most-billed visit code 99205
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

DR. BENJAMIN MAURICE KERSHBERG M.D.
Pediatrics
2295 S VINEYARD AVE, MOB A
ONTARIO, CA 91761
San Bernardino County (909) 724-2554
MS. CHRISTINE RAMOS PHARM.D.
Pharmacist
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (909) 724-7640
DORIS WU
Pharmacist
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (909) 724-3120
LINA SALEHIAN
Pharmacist
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (909) 724-2126
JENNIFER RHEE
Pharmacist
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (909) 724-3500
MANUEL JOSE SALAS PHARM.D.
Pharmacist
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (909) 724-7640
THUONG VU FNP
Nurse Practitioner (Family)
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (833) 574-2273
LIAN LIU MPH, RD, CDE
Dietitian, Registered
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (909) 724-5000

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 Kim's NPI number?

The NPI number for Dong Kim is 1386816262. It was assigned to this individual provider in the NPPES registry on March 31, 2008.

Where is Dong Kim located?

Dong Kim practices at 2295 S Vineyard Ave, Ontario, CA 91761. The listed phone number is (909) 724-2020.

What is Dong Kim's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Dong Kim enrolled in Medicare?

Yes. Dong 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.

When was this NPI record last updated?

The NPPES record for Dong Kim was last updated on November 2, 2021. 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.