Dr Warren Tackhoon Kim, MD, PHD - Medicare Diagnostic Radiology in San Francisco, CA

Dr Warren Tackhoon Kim, MD, PHD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in San Francisco, California. He went to Yale University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Sutter Bay Medical Foundation and his current practice location is 1100 Van Ness Ave, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at (415) 600-0528.

Dr Warren Tackhoon Kim is licensed to practice in California (license number A91921) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063532778.

Contact Information

Dr Warren Tackhoon Kim, MD, PHD
1100 Van Ness Ave,
San Francisco, CA 94109-6978
(415) 600-0528
(415) 369-1207

Map and Direction




Physician's Profile

Full NameDr Warren Tackhoon Kim
GenderMale
SpecialityDiagnostic Radiology
Experience21 Years
Location1100 Van Ness Ave, San Francisco, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Warren Tackhoon Kim attended and graduated from Yale University School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1063532778
  • Provider Enumeration Date: 03/29/2007
  • Last Update Date: 01/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8224188024
  • Enrollment ID: I20090617000413

Medical Identifiers

Medical identifiers for Dr Warren Tackhoon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063532778NPI-NPPES
1063532778MedicaidCA
A91921OtherCASTATE MEDICAL LICENSE
P01266715OtherCARAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085N0700XRadiology - Neuroradiology A91921 (California)Secondary
2085N0700XRadiology - Neuroradiology 893219 (California)Secondary
2085R0202XRadiology - Diagnostic Radiology A91921 (California)Secondary
2085R0202XRadiology - Diagnostic Radiology 893219 (California)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology A91921 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
California Pacific Medical Ctr-davies Campus HospSan francisco, CAHospital
Peninsula Medical CenterBurlingame, CAHospital
California Pacific Medical Center- Van Ness CampusSan francisco, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Bay Medical Foundation42845387782941

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. Dr Warren Tackhoon Kim allows following entities to bill medicare on his behalf.
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909

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. Dr Warren Tackhoon 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
Dr Warren Tackhoon Kim, MD, PHD
325 Distel Cir,
Los Altos, CA 94022-1408

Ph: (415) 600-0528
Dr Warren Tackhoon Kim, MD, PHD
1100 Van Ness Ave,
San Francisco, CA 94109-6978

Ph: (415) 600-0528

Reviews and Comments


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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.

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