ANDREW KIM D.O., PLLC
NPI 1417100918
Physical Medicine & Rehabilitation - Pain Medicine in Las Vegas, NV

Active since October 28, 2008PECOS EnrolledAccepts Medicare Assignment
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121(702) 731-1616(702) 734-4900 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2018, Oct 19, 2017, Feb 22, 2017 and 1 more (4 updates tracked since 2016).

About Andrew Kim D.o., Pllc NPPES

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

ANDREW KIM D.O., PLLC (NPI 1417100918) is an individual pain medicine provider in Las Vegas, Nevada, licensed in Nevada (DO1610) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1417100918
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameANDREW KIMCredential: D.O., PLLC
Location Address2800 E DESERT INN RD STE 100Las Vegas, NV 89121-3609
Mailing Address2800 E Desert Inn Rd Ste 100Las Vegas, NV 89121-3609 · (702) 731-1616 · Fax (702) 734-4900
Fax(702) 734-4900
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 28, 2008
Last NPPES UpdateJune 26, 20194 updates tracked since enumeration
NPI 1417100918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Licenses Licensed in NV · DO1610 Licensed in CA · 20A11170 Licensed in TX · M9411 Licensed in CA · 11170
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
2800 E DESERT INN RD STE 100, Las Vegas, NV 89121

Other Identifiers 1

Medicaid1417100918NV

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

Andrew Kim D.o., Pllc 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 ID4284802448
PECOS Enrollment IDI20110714000596
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.

Areas of Expertise CMS Part B claims 41

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,142 services457 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
524 services289 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
289 services178 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
187 services150 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484
This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.
172 services138 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
166 services52 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier11 claims11 services$62.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant (Surgical)
2800 E DESERT INN RD STE 100
LAS VEGAS, NV 89121
Physician Assistant (Surgical)
2800 E DESERT INN RD STE 100
LAS VEGAS, NV 89121
2800 E DESERT INN RD STE 100
LAS VEGAS, NV 89121
Orthopaedic Surgery
2800 E DESERT INN RD STE 100
LAS VEGAS, NV 89121
Physician Assistant
2800 E DESERT INN RD STE 100
LAS VEGAS, NV 89121
Podiatrist (Foot & Ankle Surgery)
2800 E DESERT INN RD STE 100
LAS VEGAS, NV 89121
Orthopaedic Surgery (Sports Medicine)
2800 E DESERT INN RD STE 100
LAS VEGAS, NV 89121
Orthopaedic Surgery (Sports Medicine)
2800 E DESERT INN RD STE 100
LAS VEGAS, NV 89121

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 1417100918. It was assigned to this individual provider in the NPPES registry on October 28, 2008.

Where is Andrew Kim located?

Andrew Kim practices at 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121. The listed phone number is (702) 731-1616.

What is Andrew Kim's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

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.

When was this NPI record last updated?

The NPPES record for Andrew Kim was last updated on June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.