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ROBERT DONG KIM M.D.
NPI 1780620096
Internal Medicine - Critical Care Medicine in Portland, OR

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
9427 SW BARNES RD STE 296, PORTLAND, OR 97225(503) 297-3778(503) 297-7853 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 14, 2021, Feb 11, 2019, Jan 19, 2017 and 1 more (4 updates tracked since 2016).

About Robert Dong Kim M.d. NPPES

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

ROBERT DONG KIM M.D. (NPI 1780620096) is an individual critical care medicine provider in Portland, Oregon, licensed in Wisconsin (48138) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1780620096
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameROBERT DONG KIMCredential: M.D.
Location Address9427 SW BARNES RD STE 296Portland, OR 97225-6667
Mailing Address847 Ne 19th Ave, Suite 300Portland, OR 97232-2684 · (503) 963-2801 · Fax (503) 963-2825
Phone(503) 297-3778
Fax(503) 297-7853
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2002
Enumeration DateJune 22, 2006
Last NPPES UpdateJanuary 14, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
✔ NPI 1780620096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in WI · 48138✔ Licensed in OR · MD126279
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License MD126279 (OR)
9427 SW BARNES RD STE 296, Portland, OR 97225
Open in Google Maps ↗

Secondary Practice Locations 4

Location 119250 SW 65th Ave Ste 135Tualatin, OR 97062-7745 · Phone (503) 692-8560 · Fax (503) 692-8562
Location 216770 SW Edy Rd Ste 216Sherwood, OR 97140-9679 · Phone (503) 297-3778 · Fax (503) 297-7853
Location 3879 Providence DrNewberg, OR 97132-7563 · Phone (503) 297-3778 · Fax (503) 297-7853
Location 41836 South AveLA Crosse, WI 54601-5429 · Phone (608) 782-7300

Other Identifiers 2

Medicaid500609710OR
Medicaid2017147WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Robert Dong 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 ID5597783738
PECOS Enrollment IDI20090924000569
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

3

Medicare enrollment records show Robert Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services - Oregon
0.1 mi
General Acute Care Hospital
9205 SW BARNES RD
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 753 clinicians in this Medicare group
NPI 1114015971 (503) 451-3000
Legacy Clinics LLC
4.0 mi
Clinic/Center
1130 NW 22ND AVE STE 220
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
NPI 1902827272 (503) 413-2901
Legacy Meridian Park Hospital
9.2 mi
Hospitalist
19300 SW 65TH AVE
Tualatin, OR 97062
  • Reassigned Medicare billing, Oregon enrollment
  • 218 clinicians in this Medicare group
NPI 1023305034 (503) 692-1212

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
128 services75 patients

Hospital Affiliations CMS Care Compare 3

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

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Good Shepherd Medical Center

Critical Access Hospitals · Hermiston, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381325
Location610 NW 11th StreetHermiston, OR 97838 · Umatilla County
Emergency services Birthing friendly

Ocean Beach Hospital

Critical Access Hospitals · Ilwaco, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501314
Location174 First Avenue NorthIlwaco, WA 98624 · Pacific County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

Other Providers at the Same Location NPPES 11

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

JULIETTE LOUISE WAIT MD
Internal Medicine (Pulmonary Disease)
9427 SW BARNES RD STE 296
PORTLAND, OR 97225
Washington County (503) 297-3778
CARL ANTHONY RIDDICK M.D.
Internal Medicine (Pulmonary Disease)
9427 SW BARNES RD STE 296
PORTLAND, OR 97225
Washington County (503) 297-3778
CANDACE NICOLE MEINEN D.O
Internal Medicine (Sleep Medicine)
9427 SW BARNES RD STE 296
PORTLAND, OR 97225
Washington County (503) 297-3778
ASHA NARASIMHAN CHESNUTT MD
Internal Medicine (Pulmonary Disease)
9427 SW BARNES RD STE 296
PORTLAND, OR 97225
Washington County (503) 297-3778
STEPHEN TENG-YIP YAU M.D.
Internal Medicine (Pulmonary Disease)
9427 SW BARNES RD STE 296
PORTLAND, OR 97225
Washington County (503) 297-3778
OREGON CLINIC PC
Durable Medical Equipment & Medical Supplies
9427 SW BARNES RD STE 296
PORTLAND, OR 97225
Washington County (503) 297-3778
JANIS LEIGH DENNING PAC
Physician Assistant
9427 SW BARNES RD STE 296
PORTLAND, OR 97225
Washington County (503) 297-3778
CRYSTAL ANN DURAN MD
Internal Medicine (Pulmonary Disease)
9427 SW BARNES RD STE 296
PORTLAND, OR 97225
Washington County (503) 297-3778

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 Robert Kim's NPI number?

The NPI number for Robert Kim is 1780620096. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Robert Kim located?

Robert Kim practices at 9427 SW Barnes Rd Ste 296, Portland, OR 97225. The listed phone number is (503) 297-3778.

What is Robert Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Robert Kim enrolled in Medicare?

Yes. Robert 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 Robert Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Kim reassigns Medicare benefits to 3 organizations: Providence Health & Services - Oregon (Portland, OR), Legacy Clinics LLC (Portland, OR) and Legacy Meridian Park Hospital (Tualatin, OR). 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 Robert Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Kim accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Robert 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 Robert Kim affiliated with any hospitals?

According to CMS data, Robert Kim is affiliated with Legacy Good Samaritan Medical Center, Good Shepherd Medical Center and Ocean Beach Hospital.

When was this NPI record last updated?

The NPPES record for Robert Kim was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.