YEONSOO JAMES KIM (M.D.) – Diagnostic Radiology Physician, NPI 1043575186

YEONSOO JAMES KIM (M.D.) is a healthcare provider. based in Las vegas, Nevada. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 17020 (NV). The NPI Number for YEONSOO JAMES KIM (M.D.) is 1043575186

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
YEONSOO JAMES KIM (M.D.)
NPI
1043575186
Phone
(702) 240-1215
Address
PO BOX 36900
Enumeration Date
4 July 2012
Last Update Date
6 May 2017

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
7027326000
Graduation Year
2011 (15 years ago)
PAC ID
5799077335
Group Practice PAC ID
7911897053
Professional Enrollment ID
I20170711000560
Address ID
NV891280425LA2767XWAYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

353 DIAGNOSTIC RADIOLOGY in NV

Provider Addresses for YEONSOO JAMES KIM (M.D.)

  • PO BOX 36900

    LAS VEGAS, NV 891336900

    Phone: (702) 240-1215

    Fax: (702) 243-7531

    Type: Mailing

  • 2950 S MARYLAND PKWY

    LAS VEGAS, NV 891092204

    Phone: (702) 240-1215

    Fax: (702) 243-7531

    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: 2017-07-11

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
I20170711000560IDiagnostic RadiologyNVTBD

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
A9575Injection, gadoterate meglumine, 0.1 ml45,664252$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml7,95595$0
73721Mri scan of leg joint without contrast325300$0
71250Ct scan of chest without contrast241239$0
73221Mri scan of arm joint without contrast225210$0
View full utilization report →

Insurance plans in this area (ZIP 89133)

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Provider's Procedures

YEONSOO JAMES KIM (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYNV71010X-ray of chest, 1 view, front2626
DIAGNOSTIC RADIOLOGYNV74177CT scan of abdomen and pelvis with contrast1111

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: 7911897053View full group profile
NameSpecialtyState
Diagnostic RadiologyNV
-NV
Diagnostic RadiologyNV
Diagnostic RadiologyNV
Diagnostic RadiologyTX
Diagnostic RadiologyNV
Diagnostic RadiologyNV
Diagnostic RadiologyNV
Diagnostic RadiologyNV
Diagnostic RadiologyNV

Reviews

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Frequently asked questions

Where can patients find YEONSOO JAMES KIM (M.D.)'s NPI?
You can confirm YEONSOO JAMES KIM (M.D.) with NPI 1043575186; it appears in the national provider directory.
Is YEONSOO JAMES KIM (M.D.) currently active in the NPI registry?
CMS-published data lists YEONSOO JAMES KIM (M.D.) as an active registrant.
What field does YEONSOO JAMES KIM (M.D.) work in?
You can think of YEONSOO JAMES KIM (M.D.) as practicing within Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place YEONSOO JAMES KIM (M.D.)?
The snapshot lists Las Vegas, Nevada for YEONSOO JAMES KIM (M.D.); download NPPES for the complete set.
What if Las Vegas, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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