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DR. MICHAEL JEVIN KIM M.D.
NPI 1699096784
Radiology - Diagnostic Radiology in Orange, CA

Active since June 12, 2010PECOS EnrolledAccepts Medicare Assignment
101 THE CITY DR S, ROUTE 140, ORANGE, CA 92868(714) 456-2216(714) 456-7864 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2025, Aug 4, 2025 (2 updates tracked since 2025).

About Dr. Michael Jevin Kim M.d. NPPES

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

DR. MICHAEL JEVIN KIM M.D. (NPI 1699096784) is an individual diagnostic radiology provider in Orange, California, licensed in California (A101880) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with St Clare Hospital, and maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1699096784
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MICHAEL JEVIN KIMCredential: M.D.
Location Address101 THE CITY DR S, ROUTE 140Orange, CA 92868-3201
Mailing Address101 The City Dr S, Route 140Orange, CA 92868-3201 · (714) 456-2216 · Fax (714) 456-7864
Phone(714) 456-2216
Fax(714) 456-7864
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2006
Enumeration DateJune 12, 2010
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1699096784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in CA · A101880✔ Licensed in WA · MD70003563
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
101 THE CITY DR S, Orange, CA 92868
Open in Google Maps ↗

Secondary Practice Location 1

Location 11304 Fawcett Ave Ste 100Tacoma, WA 98402-1900 · Phone (253) 761-4200

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

Dr. Michael Jevin 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.

PECOS PAC ID7214189265
PECOS Enrollment IDI20251029002793
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Michael Kim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance
950 mi
Radiology
10004 204TH AVE E, SUITE 2600
Bonney Lake, WA 98391
  • Reassigned Medicare billing, Washington enrollment
  • 137 clinicians in this Medicare group
NPI 1699063354 (253) 841-4353
Tra Medical Imaging Centers LLC
959 mi
Radiology
2502 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Washington enrollment
  • 116 clinicians in this Medicare group
NPI 1447041751 (253) 761-4200
Union Avenue Open Mri LLC
959 mi
Radiology
2502 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Washington enrollment
  • 133 clinicians in this Medicare group
NPI 1568531242 (253) 761-4200
Tra-Minw P S
959 mi
Radiology
2502 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Washington enrollment
  • 137 clinicians in this Medicare group
NPI 1396814166 (253) 761-4200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Clare Hospital

Acute Care Hospitals · Lakewood, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500021
Location11315 Bridgeport Way S WLakewood, WA 98499 · Pierce County
Emergency services

Multicare Good Samaritan Hospital

Acute Care Hospitals · Puyallup, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500079
Location401 15th Avenue SEPuyallup, WA 98372 · Pierce County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

St Anthony Hospital

Acute Care Hospitals · Gig Harbor, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500151
Location11567 Canterwood Boulevard NWGig Harbor, WA 98332 · Pierce County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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.

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. ANKIT BHUPENDRA PATEL D.O.
Radiology (Diagnostic Radiology)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-5113
DR. LAURA CATHERINE SKOCZYLAS MD
Obstetrics & Gynecology
101 THE CITY DR S, BUILDING 56, DEPARTMENT OF OB/GYN
ORANGE, CA 92868
Orange County (714) 456-8224
MICHAEL CHENG DO
Internal Medicine (Rheumatology)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-7110
AESTHETIC AND PLASTIC SURGERY INSTITUTE
Plastic Surgery
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-2986
JOSEPH VILLARREAL M.D.
Emergency Medicine
101 THE CITY DR S, BUILDING 1A, ROOM 1009
ORANGE, CA 92868
Orange County (714) 456-5239
DEMI TRAN
Psychiatry & Neurology (Neurology)
101 THE CITY DR S, CITY TOWER, SUITE 400
ORANGE, CA 92868
Orange County (171) 456-6693
DR. ISABEL CARLTON CLARK M.D.
Surgery (Trauma Surgery)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-7890
DYLAN LUKATO
Emergency Medicine
101 THE CITY DR S
ORANGE, CA 92868
Orange County (415) 218-8041

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 Michael Kim's NPI number?

The NPI number for Michael Kim is 1699096784. It was assigned to this individual provider in the NPPES registry on June 12, 2010.

Where is Michael Kim located?

Michael Kim practices at 101 The City Dr S Route 140, Orange, CA 92868. The listed phone number is (714) 456-2216.

What is Michael Kim's specialty?

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

Is Michael Kim enrolled in Medicare?

Yes. Michael 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 Michael Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Kim reassigns Medicare benefits to 4 organizations: Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance (Bonney Lake, WA), Tra Medical Imaging Centers LLC (Tacoma, WA), Union Avenue Open Mri LLC (Tacoma, WA) and Tra-Minw P S (Tacoma, WA). 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 Michael Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Kim affiliated with any hospitals?

According to CMS data, Michael Kim is affiliated with St Clare Hospital, Multicare Good Samaritan Hospital, St Joseph Medical Center, Tacoma General Allenmore Hospital and St Anthony Hospital.

When was this NPI record last updated?

The NPPES record for Michael Kim was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.