ANDREW MYUNGJEAN KIM M.D.
NPI 1396108023
Radiology - Diagnostic Radiology in Usaf Academy, CO
About Andrew Myungjean Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW MYUNGJEAN KIM M.D. (NPI 1396108023) is an individual diagnostic radiology provider in Usaf Academy, Colorado, licensed in Nebraska (30270) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Zephyrhills, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Accepted Insurance
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
Andrew Myungjean Kim M.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.
Medicare Billing Reassignments
20Medicare enrollment records show Andrew Kim reassigns Medicare billing to 20 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Parker, CO 80134
- Reassigned Medicare billing, Colorado enrollment
- 23 clinicians in this Medicare group
Tulsa, OK 74135
- Reassigned Medicare billing, Colorado enrollment
- 2 clinicians in this Medicare group
Tulsa, OK 74135
- Reassigned Medicare billing, Colorado enrollment
- 2 clinicians in this Medicare group
Linton, IN 47441
- Reassigned Medicare billing, Colorado and Indiana enrollments
- Also billed through NPI 1184695389 (Indiana)
- 2 clinicians in this Medicare group
Danville, IN 46122
- Reassigned Medicare billing, Colorado enrollment
- 2 clinicians in this Medicare group
Portland, OR 97227
- Reassigned Medicare billing, Colorado enrollment
- 2 clinicians in this Medicare group
Portland, OR 97210
- Reassigned Medicare billing, Colorado enrollment
- 2 clinicians in this Medicare group
Greenfield, IN 46140
- Reassigned Medicare billing, Indiana enrollment
- 166 clinicians in this Medicare group
Shelbyville, IN 46176
- Reassigned Medicare billing, Colorado enrollment
Fort Wayne, IN 46804
- Reassigned Medicare billing, Colorado and Maine enrollments
- Medicare enrollment name: Summit Radiology PC
- 4 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 17
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Florida Hospital Zephyrhills
Acute Care Hospitals · Zephyrhills, FLAdventhealth Sebring
Acute Care Hospitals · Sebring, FLAdventhealth Tampa
Acute Care Hospitals · Tampa, FLAdventhealth Wesley Chapel
Acute Care Hospitals · Wesley Chapel, FLLutheran Hospital Of Indiana
Acute Care Hospitals · Fort Wayne, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Andrew Kim's NPI number?
The NPI number for Andrew Kim is 1396108023. It was assigned to this individual provider in the NPPES registry on March 31, 2016.
Where is Andrew Kim located?
Andrew Kim practices at 10th Mdg, 4102 Pinion Dr, Usaf Academy, CO 80840. The listed phone number is (410) 693-4058.
What is Andrew Kim's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Andrew Kim enrolled in Medicare?
Yes. Andrew 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 Andrew Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Kim reassigns Medicare benefits to 20 organizations: Smi Imaging LLC (Parker, CO), Tulsa X-Ray Laboratory PLLC (Tulsa, OK), Tulsa X-Ray Laboratory PLLC (Tulsa, OK), Greene County General Hospital (Linton, IN), Hendricks County Radiology Inc (Danville, IN) and 15 more organizations, listed in the Medicare section above. 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 Andrew Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Kim accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, CareSource, Cigna Healthcare, Priority Health and Taro Health list Andrew Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Andrew Kim affiliated with any hospitals?
According to CMS data, Andrew Kim is affiliated with Florida Hospital Zephyrhills, Adventhealth Sebring, Adventhealth Tampa, Adventhealth Wesley Chapel and Lutheran Hospital Of Indiana.
When was this NPI record last updated?
The NPPES record for Andrew Kim was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Andrew Myungjean Kim, M.D. · NPI 1396108023
Diagnostic Radiology physician in Usaf Academy, Colorado. Individual provider, active in the CMS NPPES registry since March 31, 2016.
## Identity
- **NPI:** 1396108023 (Entity type: Individual)
- **Enumerated:** March 31, 2016
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 30270 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 10TH MDG, 4102 PINION DR, Usaf Academy, CO 80840
- **Phone:** (410) 693-4058
## 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:** 20 organizations under Medicare reassignment (form CMS-855R): Smi Imaging LLC (NPI 1548806581, Parker, CO); Tulsa X-Ray Laboratory PLLC (NPI 1144211582, Tulsa, OK); Tulsa X-Ray Laboratory PLLC (NPI 1144211582, Tulsa, OK); Greene County General Hospital (NPI 1942703004, Linton, IN); Hendricks County Radiology Inc (NPI 1588703946, Danville, IN); and 15 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Uniformed Services Uhs Fe Hebert School Of Med, class of 2010
## Record status
- **NPPES last updated:** March 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396108023) · Data from the CMS NPPES public registry.