DR. BRIAN TAE KIM (M.D.) – Diagnostic Radiology Physician, NPI 1316301773

DR. BRIAN TAE KIM (M.D.) is a healthcare provider. based in Iowa city, Iowa. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD-48595 (IA). The NPI Number for DR. BRIAN TAE KIM (M.D.) is 1316301773

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN TAE KIM (M.D.)
NPI
1316301773
Phone
(319) 356-3435
Address
200 HAWKINS DR
Enumeration Date
11 April 2016
Last Update Date
25 July 2022

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
9152154956
Graduation Year
2016 (10 years ago)
PAC ID
0042583452
Group Practice PAC ID
7517864754
Professional Enrollment ID
I20220807000058
Address ID
TX799052705EL4815XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:10State licenses:3Digital endpointsOther names

1,102 DIAGNOSTIC RADIOLOGY in WI

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Provider Addresses for DR. BRIAN TAE KIM (M.D.)

  • 200 HAWKINS DR

    IOWA CITY, IA 522421009

    Phone: (319) 356-3435

    Type: Mailing

  • 8701, West Watertown Plank Road, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States

    MILWAUKEE, WI 532263548

    Phone: (414) 955-4575

    Type: Location

  • 105 E 9th St

    Coralville, IA 522412209

    Phone: (855) 467-3700

    Fax: (319) 467-2410

    Type: Location

  • 2450 Coral Ct

    Coralville, IA 522412975

    Phone: (319) 645-3332

    Fax: (319) 645-3695

    Type: Location

  • 4815 Alameda Ave

    El Paso, TX 799052705

    Phone: (915) 215-6000

    Fax: (915) 545-6607

    Type: Location

  • The Lodgewood Apartments, 1121, North Waverly Place, Yankee Hill, Milwaukee, Milwaukee County, Wisconsin, 53202, United States

    APT 407

    MILWAUKEE, WI 532023475

    Phone: (408) 390-4120

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2023-04-05 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($43).

Total Amount

$43

General + Research + Ownership

Payments

1

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2026-02-25

PECOS data refreshed: 2026-06-15

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
I20220807000058IDiagnostic RadiologyTXTBD
I20260225003551IDiagnostic RadiologyNDTBD

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
71045X-ray of chest, 1 view163118$0
74177Ct scan of abdomen and pelvis with contrast8980$0
74176Ct scan of abdomen and pelvis without contrast3130$0
74183Mri scan of abdomen before and after contrast3027$0
71046X-ray of chest, 2 views2424$0
View full utilization report →

Insurance plans in this area (ZIP 52242)

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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: 7517864754View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. BRIAN TAE KIM (M.D.)?
Save NPI 1316301773 if you need a stable reference for DR. BRIAN TAE KIM (M.D.).
Is DR. BRIAN TAE KIM (M.D.) currently active in the NPI registry?
CMS-published data lists DR. BRIAN TAE KIM (M.D.) as an active registrant.
Can you summarize DR. BRIAN TAE KIM (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. BRIAN TAE KIM (M.D.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. BRIAN TAE KIM (M.D.)'s primary listing?
We display Iowa City, Iowa because that is what the record indicates for DR. BRIAN TAE KIM (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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