DONG H KIM (M.D.) – Diagnostic Radiology Physician, NPI 1083658942
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
219 INTERVENTIONAL RADIOLOGY in MI
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Provider Addresses for DONG H KIM (M.D.)
Dearborn Post Office, 23169, Michigan Avenue, Southwestern Outer Drive, Dearborn, Wayne County, Michigan, 48124, United States
DEARBORN, MI 481232929
Phone: (313) 359-7650
Fax: (313) 359-7660
Type: Mailing
Oakwood Boulevard, Dearborn, Wayne County, Michigan, 48124, United States
DEARBORN, MI 481242319
Phone: (313) 359-7650
Fax: (313) 359-7660
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: 2024-01-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20240105002030 | I | Interventional Radiology | SC | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 135 | 123 | $0 |
| 71046 | X-ray of chest, 2 views | 20 | 20 | $0 |
| 70450 | Ct scan head or brain without contrast | 18 | 18 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 15 | 15 | $0 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 13 | 12 | $0 |
Insurance plans in this area (ZIP 48123)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | CO | |
| Nurse Practitioner | NC | |
| Family Practice | SC | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| Internal Medicine | NC | |
| Nurse Practitioner | SC | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| Nurse Practitioner | NC | |
| Physician Assistant | SC | |
| Nurse Practitioner | SC |
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