PAUL KIM
NPI 1770112898
Radiology - Diagnostic Radiology in Trinity, FL

Q: What is Paul Kim's NPI number?

The NPI number for Paul Kim is 1770112898. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Q: What is Paul 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 Paul Kim was last updated on June 4, 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.

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment

9330 STATE ROAD 54, TRINITY, FL 34655(727) 834-4832(727) 816-2463 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2025, May 8, 2021, Apr 2, 2020 (3 updates tracked since 2020).

On this page

About Paul Kim NPPES

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

PAUL KIM (NPI 1770112898) is an individual diagnostic radiology provider in Trinity, Florida, licensed in Virginia (0102209156) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1770112898

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NamePAUL KIM

Location Address9330 STATE ROAD 54Trinity, FL 34655-1808

Mailing Address9330 State Road 54Trinity, FL 34655-1808 · (727) 834-4832 · Fax (727) 816-2463

Phone(727) 834-4832

Fax(727) 816-2463

Sole ProprietorNo

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2020

Enumeration DateApril 2, 2020

Last NPPES UpdateJune 4, 20253 updates tracked since enumeration

NPPES CertifiedJune 4, 2025

✔ NPI 1770112898 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 VA · 0102209156

Definition

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

9330 STATE ROAD 54, Trinity, FL 34655

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Secondary Practice Locations 6

Location 11250 E Marshall StRichmond, VA 23298-5023 · Phone (804) 828-6600 · Fax (804) 828-6129

Location 2300 Mt Clement ParkTappahannock, VA 22560-5098 · Phone (804) 828-6600 · Fax (804) 828-6129

Location 3618 Hospital RdTappahannock, VA 22560-5000 · Phone (804) 828-6600 · Fax (804) 828-6129

Location 41001 E Leigh StRichmond, VA 23298-5004 · Phone (804) 628-7245 · Fax (804) 828-6129

Location 59000 Stony Point PkwyRichmond, VA 23235-1900 · Phone (804) 560-8906 · Fax (804) 237-6618

Location 61213 E Clay StRichmond, VA 23298-5071 · Phone (804) 828-6600 · Fax (804) 828-6129

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Kim 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 ID3072939958

PECOS Enrollment IDI20250902003831

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.

Hospital Affiliations CMS Care Compare 2

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number490032

LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County

Emergency services Birthing friendly

Vcu Health Tappahannock Hospital

Acute Care Hospitals · Tappahannock, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490084

Location618 Hospital RoadTappahannock, VA 22560 · Essex County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34655 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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. KENNY HERNANDEZ MD

Internal Medicine