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ANDREW KIM
NPI 1891372421
Internal Medicine in Las Vegas, NV

Active since March 28, 2021PECOS Enrolled
3100 N TENAYA WAY, GRADUATE MEDICAL EDUCATION, LAS VEGAS, NV 89128(702) 962-9540 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 20, 2025, Mar 10, 2025, Mar 28, 2021 (3 updates tracked since 2021).

About Andrew Kim NPPES

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

ANDREW KIM (NPI 1891372421) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (DO3758) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital Medical Center, and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2021).

NPPES Registry Identity

NPI1891372421
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANDREW KIM
Location Address3100 N TENAYA WAY, GRADUATE MEDICAL EDUCATIONLas Vegas, NV 89128
Mailing Address3100 N Tenaya Way, Graduate Medical EducationLas Vegas, NV 89128
Phone(702) 962-9540
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2021
Enumeration DateMarch 28, 2021
Last NPPES UpdateMarch 20, 20253 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1891372421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NV · DO3758
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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License DO3758 (NV)
3100 N TENAYA WAY, Las Vegas, NV 89128
Open in Google Maps ↗

Other Identifiers 1

Medicaid433965300NV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2567864655
PECOS Enrollment IDI20260331001311
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

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

Valley Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number290021
Location620 Shadow LaneLas Vegas, NV 89106 · Clark County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89128 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
2 suppliers20 claims20 services$14.32 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
2 suppliers20 claims20 services$63.57 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.

DANIELLE CHRISTINE-ARCEO EVANS MD
Emergency Medicine
3100 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 677-8735
JODY TORI ORTALEZA CABRERA DO
Student in an Organized Health Care Education/Training Program
3100 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 482-6214
SOFIA TSELIKIS MD LTD
Hospitalist
3100 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 453-3799
AMIR KILANI DO
Radiology (Diagnostic Radiology)
3100 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 962-5000
SUNRISE MOUNTAINVIEW HOSPITAL, INC.
General Acute Care Hospital
3100 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 255-5000
TROY HENRIQUES CLEMONS
Student in an Organized Health Care Education/Training Program
3100 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 962-9563
VINCENT LAU D.O.
Anesthesiology
3100 N TENAYA WAY, GRADUATE MEDICAL EDUCATION LAS VEGAS
LAS VEGAS, NV 89128
Clark County (408) 887-9697
MASUMI PADHYE MD
Student in an Organized Health Care Education/Training Program
3100 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 962-9552

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 Andrew Kim's NPI number?

The NPI number for Andrew Kim is 1891372421. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Where is Andrew Kim located?

Andrew Kim practices at 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128. The listed phone number is (702) 962-9540.

What is Andrew Kim's specialty?

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

Is Andrew Kim enrolled in Medicare?

Yes. Andrew Kim is registered in the Medicare PECOS enrollment system.

Is Andrew Kim affiliated with any hospitals?

According to CMS data, Andrew Kim is affiliated with Valley Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Kim was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.