Sam Kim, MD
NPI 1184776569 · Vascular & Interventional Radiology Physician · Fontana, CA
Enrolled with Medicare as Practitioner - Interventional Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sam Kim, MD is a Vascular & Interventional Radiology Physician provider in Fontana, CA (NPI 1184776569).
Provider details
- NPI number
- 1184776569
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A81401 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
202 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| X-Ray of Chest, 1 View71045 | 102 | $8 |
| Ct Scan of Abdomen and Pelvis With Contrast74177 | 22 | $86 |
| X-Ray of Chest, 2 Views71046 | 21 | $10 |
| Ct Scan Head Or Brain Without Contrast70450 | 18 | $40 |
| Ct Scan of Chest With Contrast71260 | 15 | $52 |
| X-Ray of Abdomen, 1 View74018 | 13 | $9 |
| Ct Scan of Abdomen and Pelvis Without Contrast |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2021-11-29
Frequently asked questions
- What is Sam Kim's NPI number?
- Sam Kim's National Provider Identifier (NPI) is 1184776569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sam Kim's specialty?
- Sam Kim is listed in the NPPES registry with a primary specialty of Vascular & Interventional Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Sam Kim located?
- Sam Kim's practice location on file with NPPES is 9961 Sierra Ave, Fontana, CA 92335-6720.
- What is Sam Kim's phone number?
- The practice phone number listed in the NPPES registry for Sam Kim is (909) 427-3910.
- Does Sam Kim accept Medicare?
- Sam Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sam Kim's NPI active?
- Yes — Sam Kim's NPI (1184776569) is active in the NPPES registry as of the last update on 2021-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.