STEPHEN JOOWHAN KIM M.D.
NPI 1992967293
Radiology - Diagnostic Radiology in Fort Worth, TX

Active since June 27, 2008PECOS Enrolled
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 321-0404 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2024, Mar 13, 2017 (2 updates tracked since 2017).

About Stephen Joowhan Kim M.d. NPPES

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

STEPHEN JOOWHAN KIM M.D. (NPI 1992967293) is an individual diagnostic radiology provider in Fort Worth, Texas, licensed in Texas (V0445) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Medical City North Hills, and maintains a secondary practice location in Mishawaka.

NPPES Registry Identity

NPI1992967293
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSTEPHEN JOOWHAN KIMCredential: M.D.
Location Address815 PENNSYLVANIA AVEFort Worth, TX 76104-2224
Mailing Address816 W Cannon StFort Worth, TX 76104-3146 · (817) 321-0404
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2007
Enumeration DateJune 27, 2008
Last NPPES UpdateJune 21, 20242 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
NPI 1992967293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in TX · V0445 Licensed in IN · 01066145A
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 01066145A (IN)
815 PENNSYLVANIA AVE, Fort Worth, TX 76104

Secondary Practice Location 1

Location 1620 W Edison Rd, Ste 110Mishawaka, IN 46545-2784 · Phone (574) 258-1100 ext. 239 · Fax (574) 258-1101

Other Identifiers 2

Other01066145AIN · In License
Medicaid20139730IN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephen Joowhan Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527209832
PECOS Enrollment IDI20240701001044
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 77

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,111 services919 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
432 services415 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
319 services319 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
318 services309 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
318 services318 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
297 services294 patients

Hospital Affiliations CMS Care Compare 5

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

Medical City North Hills

Acute Care Hospitals · North Richland Hills, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450087
Location4401 Booth Calloway RoadNorth Richland Hills, TX 76180 · Tarrant County
Emergency services

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Baylor Scott & White All Saints Medical Center Fort Worth

Acute Care Hospitals · Fort Worth, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450137
Location1400 Eighth AveFort Worth, TX 76104 · Tarrant County
Birthing friendly

Texas Health Huguley Hospital Fort Worth South

Acute Care Hospitals · Burleson, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450677
Location11801 South FreewayBurleson, TX 76028 · Johnson County
Emergency services Birthing friendly

Methodist Mansfield Medical Center

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670023
Location2700 E Broad StreetMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104

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 Stephen Kim's NPI number?

The NPI number for Stephen Kim is 1992967293. It was assigned to this individual provider in the NPPES registry on June 27, 2008.

Where is Stephen Kim located?

Stephen Kim practices at 815 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (817) 321-0404.

What is Stephen Kim's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Stephen Kim enrolled in Medicare?

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

What insurance does Stephen Kim accept?

Health plans from Blue Cross and Blue Shield of Texas list Stephen 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 Stephen Kim affiliated with any hospitals?

According to CMS data, Stephen Kim is affiliated with Medical City North Hills, Texas Health Harris Methodist Hospital Fort Worth, Baylor Scott & White All Saints Medical Center Fort Worth, Texas Health Huguley Hospital Fort Worth South and Methodist Mansfield Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Kim was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.