STEVEN DONG-WON KIM – Pain Medicine Physician, NPI 1275152993

STEVEN DONG-WON KIM is a healthcare provider. based in Las vegas, Nevada. specializing in PAIN MANAGEMENT, PHYSICAL MEDICINE AND REHABILITATION. They hold a License No. 35.152122 (OH). The NPI Number for STEVEN DONG-WON KIM is 1275152993

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
STEVEN DONG-WON KIM
NPI
1275152993
Phone
(702) 660-8658
Address
1701 W CHARLESTON BLVD STE 230
Enumeration Date
13 April 2020
Last Update Date
11 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA, LAS VEGAS SCHOOL OF MEDICINE
Secondary Phone
2817243050
Graduation Year
2020 (6 years ago)
PAC ID
7214353390
Group Practice PAC ID
5698099752
Professional Enrollment ID
I20241122003089
Address ID
OH440111399AV33355BLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:6State licenses:2Digital endpointsOther names

102 PAIN MANAGEMENT in NV

Provider Addresses for STEVEN DONG-WON KIM

  • 1701 W CHARLESTON BLVD STE 230

    LAS VEGAS, NV 891022312

    Phone: (702) 660-8658

    Fax: (702) 671-2376

    Type: Mailing

  • 1776 WOODSTEAD CT STE 208

    THE WOODLANDS, TX 773801480

    Phone: (281) 724-3050

    Fax: (512) 628-3314

    Type: Mailing

  • 33355 HEALTH CAMPUS BLVD

    AVON, OH 440111399

    Phone: (440) 934-0489

    Type: Location

  • 4389 Medina Rd

    Copley, OH 443211388

    Phone: (216) 455-6400

    Type: Location

  • 3025 Science Park Dr

    Beachwood, OH 441227333

    Phone: (216) 455-6400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $3,772.

Total Amount is formed as General ($3,772) + Research ($0) + Ownership ($0) = $3,772.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Medtronic, Inc. ($2,322).

Total Amount

$3,772

General + Research + Ownership

Payments

27

Total payment records

General Amount

$3,772

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2025-10-03

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241122003089IPhysical Medicine And RehabilitationOHTBD
I20251003003858IPain ManagementNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89102)

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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: 5698099752View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationNY
Physical Medicine And RehabilitationTX
Physical Medicine And RehabilitationOH
Physical Medicine And RehabilitationGA
Physical Medicine And RehabilitationOH
Physical Medicine And RehabilitationOH
Physical Medicine And RehabilitationOH
Physical Medicine And RehabilitationOH
Physical Medicine And RehabilitationOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What NPI should I save for STEVEN DONG-WON KIM?
Save NPI 1275152993 if you need a stable reference for STEVEN DONG-WON KIM.
Is STEVEN DONG-WON KIM currently active in the NPI registry?
CMS-published data lists STEVEN DONG-WON KIM as an active registrant.
What kind of provider is STEVEN DONG-WON KIM?
The page reflects Pain Medicine Physician for STEVEN DONG-WON KIM. Clinical services aligned with this taxonomy classification.
What location metadata exists for STEVEN DONG-WON KIM?
The page summarizes Las Vegas, Nevada for STEVEN DONG-WON KIM; expand the address list for detail.
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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