DR. JOHN RAPHAEL KIM MD
NPI 1710958848
Radiology - Diagnostic Radiology in Fort Wayne, IN

Active since January 27, 2006
6119 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 432-1568(260) 432-4946 Get Directions Write a Review

NPPES record last updated: December 16, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Raphael Kim Md NPPES

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

DR. JOHN RAPHAEL KIM MD (NPI 1710958848) is an individual diagnostic radiology provider in Fort Wayne, Indiana, licensed in Indiana (10142685) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1710958848
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JOHN RAPHAEL KIMCredential: MD
Location Address6119 W JEFFERSON BLVDFort Wayne, IN 46804-3072
Mailing Address6119 W Jefferson BlvdFort Wayne, IN 46804-3072 · (260) 432-1568 · Fax (260) 432-4946
Fax(260) 432-4946
Sole ProprietorNo
Enumeration DateJanuary 27, 2006
Last NPPES UpdateDecember 16, 2009
NPI 1710958848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in IN · 10142685
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
6119 W JEFFERSON BLVD, Fort Wayne, IN 46804

Other Identifiers 9

Other300039257IN · Medicare Railroad
Medicare UPINF67328
Medicare PIN300077566IN
Medicaid100376180IN
Medicare PIN981270QIN
Medicare PIN300039257IN
Other300077566IN · Medicare Railroad
Medicare PIN136270UIN
Medicaid0983280OH

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
99%177 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

Radiology (Diagnostic Radiology)
6119 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Radiology (Diagnostic Radiology)
6119 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Radiology (Diagnostic Radiology)
6119 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Radiology (Diagnostic Radiology)
6119 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Radiology (Diagnostic Radiology)
6119 W JEFFERSON BLVD
FORT WAYNE, IN 46804

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 John Kim's NPI number?

The NPI number for John Kim is 1710958848. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is John Kim located?

John Kim practices at 6119 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 432-1568.

What is John Kim's specialty?

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

When was this NPI record last updated?

The NPPES record for John Kim was last updated on December 16, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.