Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. WALTER HYUN KIM M.D.
NPI 1568451649
Integrative Medicine in Scottsdale, AZ

Q: What is Walter Kim's NPI number?

The NPI number for Walter Kim is 1568451649. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Q: What is Walter Kim's specialty?

The primary specialty registered for this NPI is Integrative Medicine with taxonomy code 202D00000X.

Q: Is Walter Kim enrolled in Medicare?

No. Walter Kim has opted out of Medicare through August 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Walter Kim was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.

Active since October 20, 2005Opted out of Medicare · through Aug 4, 2027

16220 N SCOTTSDALE RD STE 300, SCOTTSDALE, AZ 85254(866) 792-1191(949) 703-8203 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2026, Aug 14, 2025, Mar 16, 2025 and 1 more (4 updates tracked since 2015).

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About Dr. Walter Hyun Kim M.d. NPPES

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

DR. WALTER HYUN KIM M.D. (NPI 1568451649) is an individual integrative medicine provider in Scottsdale, Arizona, licensed in Arizona (00210) and active in the NPI registry since October 2005. He has opted out of Medicare through August 4, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1568451649

Entity TypeIndividualMale

Primary Taxonomy202D00000X

Provider Legal NameDR. WALTER HYUN KIMCredential: M.D.

Location Address16220 N SCOTTSDALE RD STE 300Scottsdale, AZ 85254-1798

Mailing Address16220 N Scottsdale Rd Ste 300Scottsdale, AZ 85254-1798 · (866) 792-1191 · Fax (949) 703-8203

Phone(866) 792-1191

Fax(949) 703-8203

Sole ProprietorNo

Enumeration DateOctober 20, 2005

Last NPPES UpdateAugust 5, 20264 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1568451649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyIntegrative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code202D00000X

License✔ Licensed in AZ · 00210

Definition

A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.

Also ListedNuclear MedicineTaxonomy 207U00000X · License 64496 (AZ)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 64496 (AZ)

16220 N SCOTTSDALE RD STE 300, Scottsdale, AZ 85254

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Walter Hyun Kim M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 4, 2025 through August 4, 2027.

Opt-Out Effective DateAugust 4, 2025

Opt-Out In Effect ThroughAugust 4, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185

Other-Enteral and Parenteral · category OB005N

2 suppliers28 claims783 services$11.26 avg. paid by Medicare

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197

Other-Enteral and Parenteral · category OB005N

2 suppliers18 claims111 services$278.54 avg. paid by Medicare

Parenteral nutrition supply kit; premix, per day B4220

Other-Enteral and Parenteral · category OB005N

2 suppliers27 claims161 services$8.02 avg. paid by Medicare

Parenteral nutrition administration kit, per day B4224

Other-Enteral and Parenteral · category OB005N

2 suppliers29 claims166 services$25.07 avg. paid by Medicare

Capecitabine, oral, 500 mg J8521

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers11 claims436 services$0.54 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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLOUD 9 PSYCHIATRY, LLC

Nurse Practitioner (Psychiatric/Mental Health)