DR. ILKWON KIM MD
NPI 1639141773
Radiology - Diagnostic Radiology in Los Angeles, CA

Q: What is Ilkwon Kim's NPI number?

The NPI number for Ilkwon Kim is 1639141773. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Q: What is Ilkwon Kim's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Ilkwon Kim was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since February 03, 2006PECOS Enrolled

412 S WILTON PL APT 402, LOS ANGELES, CA 90020(121) 380-0101(213) 800-1010 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jul 4, 2017, Jun 23, 2017 (3 updates tracked since 2017).

On this page

About Dr. Ilkwon Kim Md NPPES

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

DR. ILKWON KIM MD (NPI 1639141773) is an individual diagnostic radiology provider in Los Angeles, California, licensed in California (C50652) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rosemead.

NPPES Registry Identity

NPI1639141773

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. ILKWON KIMCredential: MD

Location Address412 S WILTON PL APT 402Los Angeles, CA 90020-4586

Mailing Address412 S. Wilton Place, Unit 402Los Angeles, CA 90020 · 12138001010

Phone(121) 380-0101

Fax(213) 800-1010

Sole ProprietorNo

Enumeration DateFebruary 3, 2006

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1639141773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in CA · C50652

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedGeneral PracticeTaxonomy 208D00000X · License C50652 (CA)

412 S WILTON PL APT 402, Los Angeles, CA 90020

Open in Google Maps ↗

Secondary Practice Location 1

Location 12630 San Gabriel Blvd Ste 200Rosemead, CA 91770-5204 · Phone (626) 280-9968 · Fax (877) 400-0565

Other Identifiers 1

OtherD3254925CA · Drivers License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ilkwon Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90020 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

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 Ilkwon Kim's NPI number?

The NPI number for Ilkwon Kim is 1639141773. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Ilkwon Kim located?

Ilkwon Kim practices at 412 S Wilton Pl Apt 402, Los Angeles, CA 90020. The listed phone number is (121) 380-0101.

What is Ilkwon Kim's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Ilkwon Kim enrolled in Medicare?

Yes. Ilkwon Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ilkwon Kim was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.