Jin Tae Kim, MD - Radiology in Richmond, VA

Jin Tae Kim, MD is a Radiology - Diagnostic Radiology physician based in Richmond, Virginia. Jin Tae Kim is licensed to practice in Virginia (license number 0101245471) and his current practice location is 1250 E Marshall St, Radiology, Richmond, Virginia. He can be reached at his office (for appointments etc.) via phone at (804) 628-3580.

NPI number for Jin Tae Kim is 1689791493 and his current mailing address is 8599 Haven Ave., Suite 300, Rancho Cucamonga, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689791493.

Contact Information

Jin Tae Kim, MD
1250 E Marshall St, Radiology,
Richmond, VA 23298-5051
(804) 628-3580
(804) 628-3593



Physician's Profile

Full NameJin Tae Kim
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location1250 E Marshall St, Richmond, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689791493
  • Provider Enumeration Date: 03/25/2007
  • Last Update Date: 07/22/2011

Medical Identifiers

Medical identifiers for Jin Tae Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689791493NPI-NPPES
195889402MedicaidTX
8BC330OtherTXBCBSTX (BLUE CROSS BLUE SHIELD TEXAS)
195889403OtherTXCSHCN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology A73178 (California)Secondary
2085R0202XRadiology - Diagnostic Radiology M5291 (Texas)Secondary
2085R0202XRadiology - Diagnostic Radiology 0101245471 (Virginia)Primary

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. Jin Tae Kim is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jin Tae Kim, MD
8599 Haven Ave., Suite 300,
Rancho Cucamonga, CA 91730-4849

Ph: (909) 620-8180
Jin Tae Kim, MD
1250 E Marshall St, Radiology,
Richmond, VA 23298-5051

Ph: (804) 628-3580

News Archive

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› Verified 5 days ago


Radiology Doctors in Richmond, VA

Dr. Christine H Llewellyn, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1250 E Marshall Street, Radiology, Richmond, VA 23298
Phone: 804-828-8262    Fax: 804-828-6129
Kathryn S. Jones, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1250 E Marshall St, Richmond, VA 23298
Phone: 804-628-3580    Fax: 804-628-3593
Dr. Richard Westwood Fuller, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2602 Buford Rd, Richmond, VA 23235
Phone: 804-272-8806    
Michelle S. Kraut, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 7110 Forest Ave, Suite 100, Richmond, VA 23226
Phone: 804-673-4200    Fax: 804-673-6513
Dr. Matthew L Cohen, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2602 Buford Rd, Richmond, VA 23235
Phone: 804-272-8806    
Dr. Roger Headly Tutton, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1839 Monument Ave, Richmond, VA 23220
Phone: 804-355-7788    
Ryan D Clayton, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1250 E Marshall St, Radiology, Richmond, VA 23298
Phone: 804-628-6831    Fax: 804-628-1132

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