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

Jason Kim, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1104327857

Jason Kim, MD is a Diagnostic Radiology in Fort Bliss, Texas. Qualified in 2018, 8 years ago. Works from 4 locations. Licensed in Illinois, Texas and Virginia.

Years since qualifying
8
Licensed in
IL, TX, VA
In the registry since
2018
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

18511 Highlander Medics St
Fort Bliss, TX 79906-5327
Phone: (915) 742-7777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 505 Parnassus Ave, San Francisco, CA 94143-2204 — (415) 353-1300
  • 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 — (210) 228-6120
  • 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 — (210) 228-6120

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence W0202 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036176652 (IL)
General Practice Physician Taxonomy 208D00000X · Licence 0101268517 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0101268517 (VA)

Record details

NPI number1104327857
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 27, 2018
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address505 Parnassus Ave, San Francisco, CA 94143-2204

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations13 on file with Medicare

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