DR. RYAN JOHAN KIM (M.D.) – Vascular Surgery Physician, NPI 1881905222

DR. RYAN JOHAN KIM (M.D.) is a healthcare provider. based in Columbia, Missouri. specializing in VASCULAR SURGERY. They hold the professional credentials M.D.. They hold a License No. 4301096627 (MI). The NPI Number for DR. RYAN JOHAN KIM (M.D.) is 1881905222

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. RYAN JOHAN KIM (M.D.)
NPI
1881905222
Phone
(989) 327-3002
Address
1 Hospital Dr
Enumeration Date
30 June 2010
Last Update Date
26 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9897902600
Graduation Year
2010 (16 years ago)
PAC ID
0941513055
Group Practice PAC ID
8729970165
Professional Enrollment ID
I20170922003195
Address ID
MI486042800SA4701XRDXX407

Contacts

Secure Messaging
rkim1832@direct.covenanthealthcare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:15State licenses:2Other namesUpdated within 12 months

145 VASCULAR SURGERY in MO

Provider Addresses for DR. RYAN JOHAN KIM (M.D.)

  • 1 Hospital Dr

    McHaney Hall 404

    Columbia, MO 652121000

    Phone: (989) 327-3002

    Type: Location

  • 4701 TOWNE CENTRE RD STE 202

    SAGINAW, MI 486042800

    Phone: (989) 790-2600

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 113 Open Payments records for all available years, with a total value of $27,816.

Total Amount is formed as General ($27,816) + Research ($0) + Ownership ($0) = $27,816.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AngioDynamics, Inc. ($16,500).

Total Amount

$27,816

General + Research + Ownership

Payments

113

Total payment records

General Amount

$27,816

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2017-09-22

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170922003195IVascular SurgeryMITBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml5,66956$0
99213Established patient office or other outpatient visit, 20-29 minutes250182$0
J2250Injection, midazolam hydrochloride, per 1 mg19853$0
99153Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes17754$0
93925Ultrasound of leg arteries or artery grafts172121$0
View full utilization report →

Insurance plans in this area (ZIP 65212)

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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: 8729970165View full group profile
NameSpecialtyState
Vascular SurgeryMI
Nurse PractitionerMI
Vascular SurgeryMI
Nurse PractitionerMI
Vascular SurgeryMI

Reviews

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Frequently asked questions

What unique ID ties claims to DR. RYAN JOHAN KIM (M.D.)?
NPI 1881905222 is assigned to DR. RYAN JOHAN KIM (M.D.) under the national enumeration system.
Is DR. RYAN JOHAN KIM (M.D.) currently active in the NPI registry?
CMS-published data lists DR. RYAN JOHAN KIM (M.D.) as an active registrant.
Can you summarize DR. RYAN JOHAN KIM (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. RYAN JOHAN KIM (M.D.) with Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. RYAN JOHAN KIM (M.D.)'s primary listing?
We display Columbia, Missouri because that is what the record indicates for DR. RYAN JOHAN KIM (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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