WOONG RAY KIM (M.D.) – Gastroenterology Physician, NPI 1114999570

WOONG RAY KIM (M.D.) is a healthcare provider. based in Palo alto, California. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 37410 (MN). The NPI Number for WOONG RAY KIM (M.D.) is 1114999570

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
WOONG RAY KIM (M.D.)
NPI
1114999570
Phone
(650) 723-4000
Address
1804 EMBARCADERO RD
Enumeration Date
1 February 2006
Last Update Date
20 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4803018000
Graduation Year
1986 (40 years ago)
PAC ID
6709920424
Group Practice PAC ID
7012829930
Professional Enrollment ID
I20240917003017
Address ID
AZ852595404SC13400BLVD400
Telehealth
Yes

Contacts

Secure Messaging
wkim2259915@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

1,981 GASTROENTEROLOGY in CA

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Provider Addresses for WOONG RAY KIM (M.D.)

  • 1804 Embarcadero Road, Embarcadero Road, Palo Alto, Santa Clara County, California, 94303-3221, United States

    STE 100

    PALO ALTO, CA 943033318

    Phone: (650) 723-4000

    Type: Mailing

  • Stanford Hospital, 300, Pasteur Drive, Stanford, Palo Alto, Santa Clara County, California, 94305, United States

    STANFORD, CA 943052200

    Phone: (650) 723-4000

    Type: Location

  • 300 Pasteur Dr

    Stanford, CA 943052200

    Phone: (650) 723-4000

    Type: Location

  • 1804 Embarcadero Rd

    STE 100

    Palo Alto, CA 943033318

    Phone: (650) 723-4000

    Type: Location

  • 13400 E SHEA BLVD

    SCOTTSDALE, AZ 852595499

    Phone: (480) 301-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141013001679IGastroenterologyCATBD
I20240917003017IGastroenterologyAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes5043$0
99214Established patient office or other outpatient visit, 30-39 minutes3230$0
99205New patient office or other outpatient visit, 60-74 minutes2424$0
91200Measurement of liver stiffness1111$0
View full utilization report →

Insurance plans in this area (ZIP 94303)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012829930View full group profile

Reviews

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Frequently asked questions

What NPI should I save for WOONG RAY KIM (M.D.)?
Save NPI 1114999570 if you need a stable reference for WOONG RAY KIM (M.D.).
Is WOONG RAY KIM (M.D.) currently active in the NPI registry?
CMS-published data lists WOONG RAY KIM (M.D.) as an active registrant.
What does WOONG RAY KIM (M.D.) treat or focus on?
Patients typically see WOONG RAY KIM (M.D.) under the specialty Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where is WOONG RAY KIM (M.D.)'s primary listing?
We display Palo Alto, California because that is what the record indicates for WOONG RAY KIM (M.D.).
Is WOONG RAY KIM (M.D.) a real provider?
This page reflects official NPPES data for NPI 1114999570. Always confirm identity and privileges with the practice and licensing boards.

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