Kitae Kim, MD - Medicare Surgery in Las Vegas, NV

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Kitae Kim, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Las Vegas, Nevada. His current practice location is 3061 S Maryland Pkwy Ste 104, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 629-3771.

Kitae Kim is licensed to practice in Nevada (license number 11567) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033188289.

Contact Information

Kitae Kim, MD
3061 S Maryland Pkwy Ste 104,
Las Vegas, NV 89109-6226
(702) 629-3771
(702) 438-6666

Map and Direction




Physician's Profile

Full NameKitae Kim
GenderMale
SpecialitySurgery - Surgical Critical Care
Location3061 S Maryland Pkwy Ste 104, Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033188289
  • Provider Enumeration Date: 03/17/2006
  • Last Update Date: 07/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0446217467
  • Enrollment ID: I20051201000096

Medical Identifiers

Medical identifiers for Kitae Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033188289NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0102XSurgery - Surgical Critical Care 11567 (Nevada)Primary
208600000XSurgery 11567 (Nevada)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kitae Kim allows following entities to bill medicare on his behalf.
Entity NameBanner Churchill Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265811251
PECOS PAC ID: 9638080500
Enrollment ID: O20040701000826
Entity NameBanner Health Physicians West Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427314186
PECOS PAC ID: 5092978866
Enrollment ID: O20120516000049
Entity NameKitae Kim Md Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346976750
PECOS PAC ID: 3779954813
Enrollment ID: O20230127000421

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kitae Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kitae Kim, MD
2657 Windmill Pkwy # 685,
Henderson, NV 89074-3384

Ph: (702) 629-3771		Kitae Kim, MD
3061 S Maryland Pkwy Ste 104,
Las Vegas, NV 89109-6226

Ph: (702) 629-3771

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.