WOONG RAY KIM (M.D.) – Gastroenterology Physician, NPI 1114999570
Gastroenterology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141013001679 | I | Gastroenterology | CA | TBD |
| I20240917003017 | I | Gastroenterology | AZ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 50 | 43 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 32 | 30 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 24 | 24 | $0 |
| 91200 | Measurement of liver stiffness | 11 | 11 | $0 |
Insurance plans in this area (ZIP 94303)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists) | PA | |
| - | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| - | AZ | |
| - | CO | |
| - | AZ | |
| Physician Assistant | AZ | |
| - | FL | |
| Nephrology, Internal Medicine | AZ | |
| - | AZ |
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