ROBERT DONG KIM (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1780620096

ROBERT DONG KIM (M.D.) is a healthcare provider. based in Newberg, Oregon. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. 48138 (WI). The NPI Number for ROBERT DONG KIM (M.D.) is 1780620096

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT DONG KIM (M.D.)
NPI
1780620096
Phone
(503) 297-3778
Address
879 Providence Dr
Enumeration Date
22 June 2006
Last Update Date
14 January 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
5034137711
Graduation Year
2002 (24 years ago)
PAC ID
5597783738
Group Practice PAC ID
0244144004
Professional Enrollment ID
I20090924000569
Address ID
OR972103025PO1015XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

198 PULMONARY DISEASE in OR

Provider Addresses for ROBERT DONG KIM (M.D.)

  • 879 Providence Dr

    Newberg, OR 971327563

    Phone: (503) 297-3778

    Fax: (503) 297-7853

    Type: Location

  • 19250 SW 65th Ave Ste 135

    Tualatin, OR 970627745

    Phone: (503) 692-8560

    Fax: (503) 692-8562

    Type: Location

  • 16770 SW Edy Rd Ste 216

    Sherwood, OR 971409679

    Phone: (503) 297-3778

    Fax: (503) 297-7853

    Type: Location

  • 1836 South Ave

    LA Crosse, WI 546015429

    Phone: (608) 782-7300

    Type: Location

  • Cascadia Behavioral Healthcare Administrative Office, 847, Northeast 19th Avenue, Kerns, Portland, Metro, Multnomah County, Oregon, 97232, United States

    SUITE 300

    PORTLAND, OR 972322684

    Phone: (503) 963-2801

    Fax: (503) 963-2825

    Type: Mailing

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    PORTLAND, OR 972256667

    Phone: (503) 297-3778

    Fax: (503) 297-7853

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Actelion Pharmaceuticals US, Inc. ($125).

Total Amount

$140

General + Research + Ownership

Payments

2

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

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: 2009-09-24

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
I20090924000569IPulmonary DiseaseORTBD

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
99291Critical care, first 30-74 minutes16090$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)2219$0
View full utilization report →

Insurance plans in this area (ZIP 97132)

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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: 0244144004View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineOR
Vascular Surgery, General SurgeryOR
Physician AssistantOR
Internal MedicineOR
Critical Care (Intensivists)OR
-OR
Internal MedicineOR
Internal MedicineOR
Nurse PractitionerOR
-OR

Reviews

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Frequently asked questions

What is the standard ID for ROBERT DONG KIM (M.D.) in the U.S.?
In the U.S., ROBERT DONG KIM (M.D.) is identified by NPI 1780620096.
Quick check: is ROBERT DONG KIM (M.D.) active?
Public NPPES data shows ROBERT DONG KIM (M.D.) with an active NPI status right now.
What does the directory say ROBERT DONG KIM (M.D.) does?
Insurance directories may phrase it differently, but here ROBERT DONG KIM (M.D.) maps to Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ROBERT DONG KIM (M.D.)?
ROBERT DONG KIM (M.D.) is associated with Newberg, Oregon in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.