Haeseung Kim, DO
NPI 1720541741 · Internal Medicine Physician · Nellis Afb, NV
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Haeseung Kim, DO is a Internal Medicine Physician provider in Nellis Afb, NV (NPI 1720541741).
Provider details
- NPI number
- 1720541741
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 14192720-1204 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
Mailing address
Additional practice locations (1)
- 6272 S Highland DrMurray, UT 84121-2126Phone: (801) 871-6100
Registry dates
- Enumerated
- 2019-04-08
- Last updated
- 2026-05-20
- Certified
- 2026-05-20
Frequently asked questions
- What is Haeseung Kim's NPI number?
- Haeseung Kim's National Provider Identifier (NPI) is 1720541741, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Haeseung Kim's specialty?
- Haeseung Kim is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Haeseung Kim located?
- Haeseung Kim's practice location on file with NPPES is 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600.
- What is Haeseung Kim's phone number?
- The practice phone number listed in the NPPES registry for Haeseung Kim is (702) 653-2273.
- Does Haeseung Kim accept Medicare?
- Haeseung Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Haeseung Kim's NPI active?
- Yes — Haeseung Kim's NPI (1720541741) is active in the NPPES registry as of the last update on 2026-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.