Stephen Joowhan Kim, MD - Medicare Diagnostic Radiology in Mishawaka, IN

Stephen Joowhan Kim, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Mishawaka, Indiana. He went to Medical College Of Wisconsin and graduated in 2007 and has 17 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Destin Regional Imaging Center Llc and his current practice location is 620 W Edison Rd, Ste 110, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 258-1100.

Stephen Joowhan Kim is licensed to practice in Indiana (license number 01066145A) 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 1992967293.

Contact Information

Stephen Joowhan Kim, MD
620 W Edison Rd, Ste 110,
Mishawaka, IN 46545-2784
(574) 258-1100
(574) 258-1101

Map and Direction




Physician's Profile

Full NameStephen Joowhan Kim
GenderMale
SpecialityDiagnostic Radiology
Experience17 Years
Location620 W Edison Rd, Mishawaka, Indiana
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:
  • Stephen Joowhan Kim attended and graduated from Medical College Of Wisconsin in 2007
  NPI Data:
  • NPI Number: 1992967293
  • Provider Enumeration Date: 06/27/2008
  • Last Update Date: 03/13/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8527209832
  • Enrollment ID: I20220307001552

Medical Identifiers

Medical identifiers for Stephen Joowhan Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992967293NPI-NPPES
01066145AOtherININ LICENSE
20139730MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 01066145A (Indiana)Primary
2085R0204XRadiology - Vascular & Interventional Radiology 01066145A (Indiana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sacred Heart Hospital On The Emerald CoastMiramar beach, FLHospital
Ascension Sacred Heart GulfPort saint joe, FLHospital
Sacred Heart HospitalPensacola, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Destin Regional Imaging Center Llc89210507823

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. Stephen Joowhan Kim allows following entities to bill medicare on his behalf.
Entity NameDestin Regional Imaging Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134116726
PECOS PAC ID: 8921050782
Enrollment ID: O20050221000276

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. Stephen Joowhan 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
Stephen Joowhan Kim, MD
620 W Edison Rd, Ste 110,
Mishawaka, IN 46545-2784

Ph: (574) 258-1100
Stephen Joowhan Kim, MD
620 W Edison Rd, Ste 110,
Mishawaka, IN 46545-2784

Ph: (574) 258-1100

Reviews and Comments


Radiology Doctors in Mishawaka, IN

Samir B Patel, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545
Phone: 574-258-1100    Fax: 574-258-1101
James C Field, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545
Phone: 547-258-1100    Fax: 574-258-1101
Mark J Ormson, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545
Phone: 574-258-1100    Fax: 574-258-1101
John C Hill, DO
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545
Phone: 574-258-1100    Fax: 574-258-1101
Mary C Dynes, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545
Phone: 574-258-1100    Fax: 574-258-1101
Francoise M Dion, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545
Phone: 574-258-1100    Fax: 574-258-1101
Christine Marsch O'malley, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545
Phone: 574-258-1100    Fax: 574-258-1101

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.