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

Q: 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.

Q: 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.

Q: 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.

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: August 02, 2026.

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

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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

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Secondary Practice Locations 4

Location 1879 Providence DrNewberg, OR 97132-7563 · Phone (503) 297-3778 · Fax (503) 297-7853

Location 219250 SW 65th Ave Ste 135Tualatin, OR 97062-7745 · Phone (503) 692-8560 · Fax (503) 692-8562

Location 316770 SW Edy Rd Ste 216Sherwood, OR 97140-9679 · 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, and ordering and referring status from the CMS PECOS system.

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.

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 2

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

Columbia Memorial Hospital

Critical Access Hospitals · Astoria, OR

OwnershipProprietary

CMS Certification Number381320

Location2111 Exchange StreetAstoria, OR 97103 · Clatsop County

Emergency services Birthing friendly

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)