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DR. KENNETH TAEYOUNG KIM MD
NPI 1003441262
Emergency Medicine in Los Angeles, CA

Active since March 09, 2020PECOS Enrolled
1100 GLENDON AVE STE 1200, LOS ANGELES, CA 90024(310) 794-0785 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2024, Sep 11, 2024, Apr 21, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Kenneth Taeyoung Kim Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH TAEYOUNG KIM MD (NPI 1003441262) is an individual emergency medicine provider in Los Angeles, California, licensed in California (A183373) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003441262
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KENNETH TAEYOUNG KIMCredential: MD
Location Address1100 GLENDON AVE STE 1200Los Angeles, CA 90024-3516
Mailing Address924 Westwood Blvd Ste 300Los Angeles, CA 90024-2924 · (310) 794-0785
Phone(310) 794-0785
Sole ProprietorNo
Enumeration DateMarch 9, 2020
Last NPPES UpdateDecember 30, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1003441262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A183373
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1100 GLENDON AVE STE 1200, Los Angeles, CA 90024
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Taeyoung Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKE JONES
Student in an Organized Health Care Education/Training Program
1100 GLENDON AVE STE 1200
LOS ANGELES, CA 90024
Los Angeles County (310) 794-0785
SIERRA RADER STARK MD
Student in an Organized Health Care Education/Training Program
1100 GLENDON AVE STE 1200
LOS ANGELES, CA 90024
Los Angeles County (310) 794-0785
LEONARDO ROBERTO BENAVIDES MD
Student in an Organized Health Care Education/Training Program
1100 GLENDON AVE STE 1200
LOS ANGELES, CA 90024
Los Angeles County (310) 794-0785
DONA ABOUD SYRIANI MD
Student in an Organized Health Care Education/Training Program
1100 GLENDON AVE STE 1200
LOS ANGELES, CA 90024
Los Angeles County (310) 794-0785
MONICA BANG LE MD, MPH
Student in an Organized Health Care Education/Training Program
1100 GLENDON AVE STE 1200
LOS ANGELES, CA 90024
Los Angeles County (310) 794-0785
MATTHEW ROCES
Emergency Medicine
1100 GLENDON AVE STE 1200
LOS ANGELES, CA 90024
Los Angeles County (310) 794-0785
NIKA VAFADARI MD
Student in an Organized Health Care Education/Training Program
1100 GLENDON AVE STE 1200
LOS ANGELES, CA 90024
Los Angeles County (310) 794-0785
MICHAEL HUGHES RUSSELL MD
Student in an Organized Health Care Education/Training Program
1100 GLENDON AVE STE 1200
LOS ANGELES, CA 90024
Los Angeles County (310) 794-0785

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Kim's NPI number?

The NPI number for Kenneth Kim is 1003441262. It was assigned to this individual provider in the NPPES registry on March 9, 2020.

Where is Kenneth Kim located?

Kenneth Kim practices at 1100 Glendon Ave Ste 1200, Los Angeles, CA 90024. The listed phone number is (310) 794-0785.

What is Kenneth Kim's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kenneth Kim enrolled in Medicare?

Yes. Kenneth Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Kim was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.