DR. JOHN PAUL KIM (MD) – Diagnostic Radiology Physician, NPI 1083889919

DR. JOHN PAUL KIM (MD) is a healthcare provider. based in Tacoma, Washington. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD60274626 (WA). The NPI Number for DR. JOHN PAUL KIM (MD) is 1083889919

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN PAUL KIM (MD)
NPI
1083889919
Phone
(253) 761-4200
Address
1304 FAWCETT AVE STE 100
Enumeration Date
22 April 2008
Last Update Date
30 August 2024

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
2538414353
Graduation Year
2005 (21 years ago)
PAC ID
0840323754
Group Practice PAC ID
5597652917
Professional Enrollment ID
I20121009000234
Address ID
WA984051328TA2502XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,262 DIAGNOSTIC RADIOLOGY in WA

Provider Addresses for DR. JOHN PAUL KIM (MD)

  • 1304 FAWCETT AVE STE 100

    TACOMA, WA 98402

    Phone: (253) 761-4200

    Fax: (253) 761-4201

    Type: Location

  • PO BOX 1535

    TACOMA, WA 984011535

    Phone: (253) 761-4200

    Fax: (253) 383-3553

    Type: Mailing

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: 2012-10-09

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
I20121009000234IDiagnostic RadiologyWATBD

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
71045X-ray of chest, 1 view606584$0
71046X-ray of chest, 2 views248246$0
70450Ct scan head or brain without contrast130130$0
70551Mri scan of brain without contrast123120$0
73502X-ray of hip, 2-3 views5959$0
View full utilization report →

Insurance plans in this area (ZIP 98402)

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Provider's Procedures

DR. JOHN PAUL KIM (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYWA71010X-ray of chest, 1 view, front640588
DIAGNOSTIC RADIOLOGYWA71250CT scan chest2929
DIAGNOSTIC RADIOLOGYWA73562X-ray of knee, 3 views5748

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: 5597652917View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyCA
Diagnostic RadiologyOH
Diagnostic RadiologyWA
Diagnostic RadiologyWA
-WA

Reviews

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Frequently asked questions

Does DR. JOHN PAUL KIM (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JOHN PAUL KIM (MD) uses 1083889919.
Can I rely on DR. JOHN PAUL KIM (MD) being an active provider?
As of the registry snapshot, DR. JOHN PAUL KIM (MD) is marked active.
What is DR. JOHN PAUL KIM (MD)'s primary classification?
Diagnostic Radiology Physician is the headline specialty for DR. JOHN PAUL KIM (MD) here. Clinical services aligned with this taxonomy classification.
Where is DR. JOHN PAUL KIM (MD) based?
DR. JOHN PAUL KIM (MD) is tied to Tacoma, Washington in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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