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JONATHAN KIM
NPI 1033643887
Anesthesiology in Sacramento, CA

Active since April 19, 2017PECOS EnrolledAccepts Medicare Assignment
78.08/100
CMS Quality Rating
4301 X ST, SACRAMENTO, CA 95817(916) 734-4611 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2026, Feb 18, 2025, Apr 18, 2024 and 5 more (8 updates tracked since 2017).

About Jonathan Kim NPPES

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

JONATHAN KIM (NPI 1033643887) is an individual anesthesiology provider in Sacramento, California, licensed in California (A161701) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2017).

NPPES Registry Identity

NPI1033643887
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJONATHAN KIM
Location Address4301 X STSacramento, CA 95817-2214
Mailing Address4301 X StSacramento, CA 95817-2214
Phone(916) 734-4611
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2017
Enumeration DateApril 19, 2017
Last NPPES UpdateMarch 2, 20268 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1033643887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A161701
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License A161701 (CA)
4301 X ST, Sacramento, CA 95817
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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 and accepts Medicare assignment

Jonathan Kim 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 ID6709288582
PECOS Enrollment IDI20210715004151
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.65
Improvement Activities30
Cost52.58

Other Providers at the Same Location NPPES 20

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

ALICIA MARIE MARZOLF RD
Dietitian, Registered
4301 X ST
SACRAMENTO, CA 95817
Sacramento County (408) 219-5594
CHRISTINA SHARKEY MS, RD
Dietitian, Registered (Nutrition, Pediatric)
4301 X ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-2011
RICARDO CARLOS OCAMPO MD
Student in an Organized Health Care Education/Training Program
4301 X ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-2011
CAITLYN KRISTINE BETTENCOURT RN
Nurse Anesthetist, Certified Registered
4301 X ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-5058
NIAILAH OCHAI
Internal Medicine (Clinical Cardiac Electrophysiology)
4301 X ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-2011
PREET K MATHARU MD
Pediatrics
4301 X ST
SACRAMENTO, CA 95817
Sacramento County (916) 703-3050
CHRISTIAN ORION CASTEEL DO
Emergency Medicine
4301 X ST
SACRAMENTO, CA 95817
Sacramento County (312) 942-7100
JEAN BERTRAND KALIMA MD
Student in an Organized Health Care Education/Training Program
4301 X ST
SACRAMENTO, CA 95817
Sacramento County (800) 282-3284

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 Jonathan Kim's NPI number?

The NPI number for Jonathan Kim is 1033643887. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Jonathan Kim located?

Jonathan Kim practices at 4301 X St, Sacramento, CA 95817. The listed phone number is (916) 734-4611.

What is Jonathan Kim's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jonathan Kim enrolled in Medicare?

Yes. Jonathan 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 Jonathan Kim was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.