Individual provider

Kitae Kim, MD

Surgical Critical Care Physician Surgery Physician Medicare enrolled

Kitae Kim, MD is a Surgical Critical Care Physician in Las Vegas, NV, registered under NPI 1033188289. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 3061 S MARYLAND PKWY STE 104, Las Vegas, NV 89109. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3061 S MARYLAND PKWY STE 104, Las Vegas, NV 89109 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD61401956 WA Surgical Critical Care Physician
11567 NV Surgery Physician
MD61401956 WA Surgery Physician
11567 NV Surgical Critical Care Physician primary

Licences are recorded in 2 states: WA, NV. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - General Surgery
PAC ID
0446217467

Enrolled in Medicare 4 times, across 4 states:

StateEnrollment IDProvider type
Nevada I20051201000096 Practitioner - General Surgery
Arizona I20230602001753 Practitioner - General Surgery
Washington I20260430003734 Practitioner - General Surgery
Utah I20260608002807 Practitioner - General Surgery

Medicare enrolment is recorded as approved under the provider type Practitioner - General Surgery. There are 4 separate enrolment records across 4 states (NV, AZ, WA, UT). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Nevada and Washington. The practice address on file is in Las Vegas, NV, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NV Nevada practice address
Licence
11567
Specialty
Surgery Physician
Verify with the NV board →
WA Washington
Licence
MD61401956
Specialty
Surgical Critical Care Physician
Verify with the WA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Surgical Critical Care covers

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. NUCC Health Care Provider Taxonomy, code 2086S0102X
Allopathic & Osteopathic Physicians Surgery Surgical Critical Care

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2086S0102X Surgical Critical Care Physician Surgical Critical Care MD61401956 WA
208600000X Surgery Physician 11567 NV
208600000X Surgery Physician MD61401956 WA
2086S0102X Surgical Critical Care Physician Surgical Critical Care 11567 NV primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1033188289 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 17, 2006
Last updatedApr 23, 2026
StatusActive
Sole proprietorNo
GenderMale
CredentialMD
Practice address 3061 S MARYLAND PKWY STE 104
Las Vegas, NV 89109
(702) 629-3771
Fax (702) 438-6666
Mailing address 2657 WINDMILL PKWY # 685
Henderson, NV 89074
This record was updated on Apr 23, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1033188289 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 3 3 1 8 8 2 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 6 3 2 8 7 2 7

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1033188289?
NPI 1033188289 is the National Provider Identifier assigned to Kitae Kim, MD in Las Vegas, NV. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Surgical Critical Care cover?
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care…
How do I contact Kitae Kim, MD?
The phone number on file with NPPES is (702) 629-3771, last updated Apr 23, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kitae Kim, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1033188289 a valid number?
Yes. 1033188289 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.