JAE KOUL KIM MD
NPI 1124099213
Radiology, Diagnostic Radiology in Tucson,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 28, 2006

Contact Information

4729 E Sunrise Dr # 315
Tucson,
Post Code: 85718
Phone: (520) 429-2023
Fax: -

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Jae Koul Kim Md in Tucson - Radiology, Diagnostic Radiology

Jae Koul Kim Md is a Radiology, Diagnostic Radiology in Tucson, . Jae Koul Kim Md practices all healthcare services and medical treatments related to Radiology, Diagnostic Radiology. The NPI Number for Jae Koul Kim Md is 1124099213. The last update date is 2016-11-09.

Jae Koul Kim Md's current location address is 4729 E Sunrise Dr # 315, Tucson, . You can contact this provider via phone number (520) 429-2023 and fax number -. The mailing address for Jae Koul Kim Md is 4729 E Sunrise Dr # 315, Tucson, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1124099213
Provider Name
JAE KOUL KIM MD
Gender
Male
Entity Type
Individual
Location Address
4729 E Sunrise Dr # 315, Tucson,
Location Phone
(520) 429-2023
Location Fax
-
Mailing Address
4729 E Sunrise Dr # 315, Tucson, Arizona(AZ)
Mailing Phone
520-429-2023
Mailing Fax
-
Enumeration Date
2006-01-28
Last Update Date
2016-11-09
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology, Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
-
License No.
32890
License State
Arizona (AZ)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 2085U0001X Diagnostic Ultrasound Physician

Radiology, Diagnostic Ultrasound

32890 (Arizona)
2 2085B0100X Body Imaging Physician

Radiology, Body Imaging

32890 (Arizona)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
861725 MEDICAID (05) Arizona (AZ)
005472 Other (non-Medicare) (01) Arizona (AZ) Group Medicaid ID
CS7943 Other (non-Medicare) (01) Arizona (AZ) Group Medicare Railroad ID & PTAN
1124099213 Other (non-Medicare) (01) Arizona (AZ) Physician Individual NPI
ZWCBBM Other (non-Medicare) (01) Arizona (AZ) Group Medicare ID
1841261989 Other (non-Medicare) (01) Arizona (AZ) Group NPI
P00109556 Other (non-Medicare) (01) Arizona (AZ) Medicare Railroad

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124099213
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144091822
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2144091822
2 + 1 + 4 + 4 + 0 + 9 + 1 + 8 + 2 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 3 3

The NPI number 1124099213 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023011269 BENIGNO F DECENA
Individual
Internal Medicine, Cardiovascular Disease 4729 E CAMP LOWELL DR
TUCSON, Arizona (AZ)
520-838-3540
1013910157 COLEMAN WADE DAVIDSON
Individual
Obstetrics & Gynecology PO BOX 31235
TUCSON, Arizona (AZ)
520-324-4100
1053314138 ERIC S PERCY-FINE
Individual
Physical Therapist 8811 N 51ST AVE
GLENDALE, Arizona (AZ)
623-915-2726
1124021019 DARYL THOMAS HARRIMAN
Individual
Registered Nurse 8901 E RAINTREE DR STE 100
SCOTTSDALE, Arizona (AZ)
480-767-2100
1033112818 SUNGCHUN LEE
Individual
Internal Medicine, Nephrology 6622 N 91ST AVE
GLENDALE, Arizona (AZ)
602-759-6883