ANGELIQUE KIM MD
NPI 1013458868
Obstetrics & Gynecology in Redwood City, CA

Active since March 13, 2017PECOS EnrolledAccepts Medicare Assignment
905 MAPLE ST FL 4, REDWOOD CITY, CA 94063(650) 299-4957 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 8, 2023, Mar 13, 2017 (2 updates tracked since 2017).

About Angelique Kim Md NPPES

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

ANGELIQUE KIM MD (NPI 1013458868) is an individual obstetrics & gynecology provider in Redwood City, California, licensed in California (A182001) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, Davis School Of Medicine (2019).

NPPES Registry Identity

NPI1013458868
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameANGELIQUE KIMCredential: MD
Location Address905 MAPLE ST FL 4Redwood City, CA 94063-2057
Mailing Address710 Lawrence Expy Dept 384Santa Clara, CA 95051-5173 · (925) 446-0201
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2019
Enumeration DateMarch 13, 2017
Last NPPES UpdateMarch 21, 20242 updates tracked since enumeration
NPPES CertifiedMarch 21, 2024
NPI 1013458868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · A182001
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

905 MAPLE ST FL 4, Redwood City, CA 94063

Other Names 1

Former Name (1)Angelique Mahavongtrakul Md

Secondary Practice Locations 2

Location 14610 X StSacramento, CA 95817-2200 · Phone (925) 446-0201
Location 2710 Lawrence Expy Dept 384Santa Clara, CA 95051-5173 · Phone (408) 851-3842

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Angelique Kim Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42690703
PECOS Enrollment IDI20230726002393
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 94063 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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 3

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

Obstetrics & Gynecology (Gynecology)
905 MAPLE ST FL 4
REDWOOD CITY, CA 94063
Obstetrics & Gynecology
905 MAPLE ST FL 4
REDWOOD CITY, CA 94063
Registered Nurse
905 MAPLE ST FL 4
REDWOOD CITY, CA 94063

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 Angelique Kim's NPI number?

The NPI number for Angelique Kim is 1013458868. It was assigned to this individual provider in the NPPES registry on March 13, 2017. The provider is also known as Angelique Mahavongtrakul MD.

Where is Angelique Kim located?

Angelique Kim practices at 905 Maple St Fl 4, Redwood City, CA 94063. The listed phone number is (650) 299-4957.

What is Angelique Kim's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Angelique Kim enrolled in Medicare?

Yes. Angelique Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Angelique Kim was last updated on March 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.