KENNETH C KIM DO
NPI 1710509054
Radiology - Diagnostic Radiology in Orange, CA
About Kenneth C Kim Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH C KIM DO (NPI 1710509054) is an individual diagnostic radiology provider in Orange, California, licensed in California (20A23701) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Overland Park Reg Med Ctr, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Kenneth C Kim Do 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
8Medicare enrollment records show Kenneth Kim reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 202 clinicians in this Medicare group
Laguna Hills, CA 92653
- Reassigned Medicare billing, California enrollment
- 116 clinicians in this Medicare group
Scottsdale, AZ 85251
- Reassigned Medicare billing, California enrollment
- 79 clinicians in this Medicare group
Wichita, KS 67214
- Reassigned Medicare billing, Kansas enrollment
- 35 clinicians in this Medicare group
Overland Park, KS 66210
- Reassigned Medicare billing, Kansas enrollment
- 84 clinicians in this Medicare group
Overland Park, KS 66213
- Reassigned Medicare billing, Kansas enrollment
- 36 clinicians in this Medicare group
Overland Park, KS 66211
- Reassigned Medicare billing, Kansas enrollment
- Medicare enrollment name: Diagnostic Imaging Centers PA
- 30 clinicians in this Medicare group
Houghton, MI 49931
- Reassigned Medicare billing, Michigan enrollment
- 130 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Overland Park Reg Med Ctr
Acute Care Hospitals · Overland Park, KSPhysician 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.
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.
ORANGE, CA 92868
ORANGE, CA 92868
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 Kenneth Kim's NPI number?
The NPI number for Kenneth Kim is 1710509054. It was assigned to this individual provider in the NPPES registry on May 9, 2020.
Where is Kenneth Kim located?
Kenneth Kim practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (714) 456-8888.
What is Kenneth Kim's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Kenneth Kim enrolled in Medicare?
Yes. Kenneth 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 Kenneth Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Kim reassigns Medicare benefits to 8 organizations: Uc Regents (Orange, CA), Health Diagnostics Of California A Professional Corporation (Laguna Hills, CA), Smi Imaging, LLC (Scottsdale, AZ), Wichita Radiological Group Prof Assoc (Wichita, KS), Overland Park Surgical Specialties LLC (Overland Park, KS) and 3 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 Kenneth Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Kim accept?
Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Oscar Insurance Company list Kenneth 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 Kenneth Kim affiliated with any hospitals?
According to CMS data, Kenneth Kim is affiliated with Overland Park Reg Med Ctr.
When was this NPI record last updated?
The NPPES record for Kenneth Kim was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Kenneth C Kim, DO · NPI 1710509054
Diagnostic Radiology physician in Orange, California. Individual provider, active in the CMS NPPES registry since May 9, 2020.
## Identity
- **NPI:** 1710509054 (Entity type: Individual)
- **Enumerated:** May 9, 2020
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 20A23701 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 THE CITY DR S, Orange, CA 92868-3201
- **Phone:** (714) 456-8888
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Uc Regents (NPI 1346298528, Orange, CA); Health Diagnostics Of California A Professional Corporation (NPI 1245861368, Laguna Hills, CA); Smi Imaging, LLC (NPI 1972004489, Scottsdale, AZ); Wichita Radiological Group Prof Assoc (NPI 1144256447, Wichita, KS); Overland Park Surgical Specialties LLC (NPI 1760798540, Overland Park, KS); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710509054) · Data from the CMS NPPES public registry.