Kenneth C. Kim, DO
NPI 1710509054ActiveIndividual· Radiology, Diagnostic Radiology· Orange, CA
Radiology, Diagnostic Radiology (DO) with Uc Regents and 1 other group, practicing in Orange, California. Enrolled in Medicare as practitioner - diagnostic radiology and practitioner - diagnostic radiology. Lists Overland Park Reg Med Ctr and 1 other hospital as hospital affiliations.
Overview
| NPI | 1710509054 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | May 9, 2020 |
| Last updated in NPPES | May 21, 2025 |
| Certified by provider | May 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 20A23701 | CA |
| Radiology, Diagnostic Radiology | 2085R0202X | 1710509054 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (CA); Practitioner - Diagnostic Radiology (KS); Practitioner - Diagnostic Radiology (MI) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Uc RegentsOrange, CA · 108 clinicians
- Advanced Radiology Consultants of Kansas City PAOverland Park, KS · 19 clinicians
Hospital affiliations
- Overland Park Reg Med CtrOverland Park, KS
- Uci Health-OrangeOrange, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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