HAESEUNG KIM DO
NPI 1720541741
Internal Medicine in Nellis Afb, NV

Q: What is Haeseung Kim's NPI number?

The NPI number for Haeseung Kim is 1720541741. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Q: What is Haeseung Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Haeseung Kim was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 08, 2019PECOS Enrolled

4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-2273 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 20, 2026, Jul 23, 2024, Oct 4, 2022 and 1 more (4 updates tracked since 2019).

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About Haeseung Kim Do NPPES

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

HAESEUNG KIM DO (NPI 1720541741) is an individual internal medicine provider in Nellis Afb, Nevada, licensed in Utah (14192720-1204) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Murray, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720541741

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameHAESEUNG KIMCredential: DO

Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191-6600

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(702) 653-2273

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 8, 2019

Last NPPES UpdateMay 20, 20264 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1720541741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in UT · 14192720-1204✔ Licensed in VA · 0102206879

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191

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Secondary Practice Location 1

Location 16272 S Highland DrMurray, UT 84121-2126 · Phone (801) 871-6100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haeseung Kim Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800120023

PECOS Enrollment IDI20260722004427

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 Reassignment

Medicare enrollment records show Haeseung Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc

109 mi

Psychiatry

292 S 1470 E
St George, UT 84790

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1457496531 (435) 251-5900

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89191 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

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$14.39 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$77.47 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 20

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

DR. DEBRA A KOENIGSBERGER MD

Integrative Medicine