Individual provider

Ina Kim, MD

Urology Physician Student in an Organized Health Care Education/Training Program Medicare enrolled

Ina Kim, MD is an Urology Physician in Roseville, CA, registered under NPI 1295909455. 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 3 MEDICAL PLAZA DR STE 250, Roseville, CA 95661. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3 MEDICAL PLAZA DR STE 250, Roseville, CA 95661 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
A148685 CA Urology Physician primary
28226 NE Urology Physician

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

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Urology
PAC ID
2961725957

Medicare enrolment is recorded as approved under the provider type Practitioner - Urology. This means the provider is enrolled to bill Medicare, though 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: California and Nebraska. The practice address on file is in Roseville, CA, 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.

CA California practice address
Licence
A148685
Specialty
Urology Physician
Verify with the CA board →
NE Nebraska
Licence
28226
Specialty
Urology Physician
Verify with the NE 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 Urology covers

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. NUCC Health Care Provider Taxonomy, code 208800000X
Allopathic & Osteopathic Physicians Urology

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208800000X Urology Physician A148685 CA primary
390200000X Student in an Organized Health Care Education/Training Program
208800000X Urology Physician 28226 NE

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.

NPI1295909455 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 18, 2008
Last updatedJul 21, 2022
StatusActive
Sole proprietorNo
CredentialMD
Practice address 3 MEDICAL PLAZA DR STE 250
Roseville, CA 95661
(916) 797-4720
Fax (916) 797-4721
Mailing address 10470 OLD PLACERVILLE RD STE 100
Sacramento, CA 95827
The last update on file is Jul 21, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1295909455 passes the NPI check digit test The final digit 5 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 2 9 5 9 0 9 4 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 9 5 9 0 9 4 1

Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5

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 1295909455?
NPI 1295909455 is the National Provider Identifier assigned to Ina Kim, MD in Roseville, CA. 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 Urology Physician cover?
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their…
How do I contact Ina Kim, MD?
The phone number on file with NPPES is (916) 797-4720, last updated Jul 21, 2022. 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 Ina 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 1295909455 a valid number?
Yes. 1295909455 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.