Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jae Hun Kim, PA

Individual provider Physician Assistant · NPI 1063055481

Jae Hun Kim, PA is a Physician Assistant in Las Vegas, Nevada. Qualified in 2019, 7 years ago. Practices with Optum Medical Group II Rhodes P C, a 302-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
7
Licensed in
NV
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

540 N Nellis Blvd
Las Vegas, NV 89110-5368
Phone: (702) 877-5199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2230 (NV)

Record details

NPI number1063055481
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 18, 2019
Last updated in NPPESJanuary 8, 2020
Certification dateJanuary 8, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Optum Medical Group Ii Rhodes P C — 302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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