Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. BONG JIK KIM M.D.
NPI 1891179024
Family Medicine in Waianae, HI

Q: What is Bong Jik Kim's NPI number?

The NPI number for Bong Jik Kim is 1891179024. It was assigned to this individual provider in the NPPES registry on July 17, 2015.

Q: What is Bong Jik Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Bong Jik Kim was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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 July 17, 2015PECOS Enrolled

89-102 FARRINGTON HWY UNIT 3000, WAIANAE, HI 96792(808) 697-3900(808) 697-3930 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Bong Jik Kim M.d. NPPES

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

MR. BONG JIK KIM M.D. (NPI 1891179024) is an individual family medicine provider in Waianae, Hawaii, licensed in Hawaii (MDR-9039) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Salt Lake City, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1891179024

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. BONG JIK KIMCredential: M.D.

Location Address89-102 FARRINGTON HWY UNIT 3000Waianae, HI 96792-4160

Mailing Address89-102 Farrington Hwy Unit 3000Waianae, HI 96792-4160 · (808) 697-3900 · Fax (808) 697-3930

Phone(808) 697-3900

Fax(808) 697-3930

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJuly 17, 2015

Last NPPES UpdateJuly 17, 2026

NPPES CertifiedJuly 17, 2026

✔ NPI 1891179024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in HI · MDR-9039

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

89-102 FARRINGTON HWY UNIT 3000, Waianae, HI 96792

Open in Google Maps ↗

Secondary Practice Location 1

Location 150 North Medical Drive 3C120, Otolaryngology Administration OfficeSalt Lake City, UT 84132 · Phone (801) 581-7514 · Fax (801) 585-5744

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Bong Jik Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517471345

PECOS Enrollment IDI20250703003721

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96792 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

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 8

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

WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED

Clinic/Center (Federally Qualified Health Center (FQHC))