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CAROLINE SHIM MD
NPI 1043359284
Pediatrics in Pacific Palisades, CA

Active since February 05, 2007PECOS Enrolled
881 ALMA REAL DR STE 316, PACIFIC PALISADES, CA 90272(310) 454-2296(310) 454-2295 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 14, 2021, Apr 20, 2021, Aug 13, 2020 and 2 more (5 updates tracked since 2019).

About Caroline Shim Md NPPES

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

CAROLINE SHIM MD (NPI 1043359284) is an individual pediatrics provider in Pacific Palisades, California, licensed in California (A76783) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pacific Palisades.

NPPES Registry Identity

NPI1043359284
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCAROLINE SHIMCredential: MD
Location Address881 ALMA REAL DR STE 316Pacific Palisades, CA 90272-5061
Mailing Address910 Via De La Paz, Suite 207Pacific Palisades, CA 90272-3515 · (310) 454-4466 · Fax (310) 454-0916
Phone(310) 454-2296
Fax(310) 454-2295
Sole ProprietorNo
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJanuary 25, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2024
✔ NPI 1043359284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A76783
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedSpecialistTaxonomy 174400000X · License A76783 (CA)
881 ALMA REAL DR STE 316, Pacific Palisades, CA 90272
Open in Google Maps ↗

Secondary Practice Location 1

Location 1970 Monument St Ste 220Pacific Palisades, CA 90272-3898 · Phone (310) 454-2296 · Fax (310) 454-2295

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caroline Shim 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.

Medicare Billing Reassignment

Medicare enrollment records show Caroline Shim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Saint Johns Medical Foundation
2.9 mi
Specialist
2121 SANTA MONICA BLVD
Santa Monica, CA 90404
  • Reassigned Medicare billing, California enrollment
  • 461 clinicians in this Medicare group
NPI 1770093734 (310) 582-7312

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90272 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

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

DR. ALISA ANN BROMBERG M.D.
Pediatrics
881 ALMA REAL DR STE 316
PACIFIC PALISADES, CA 90272
Los Angeles County (310) 454-2296

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 Caroline Shim's NPI number?

The NPI number for Caroline Shim is 1043359284. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Caroline Shim located?

Caroline Shim practices at 881 Alma Real Dr Ste 316, Pacific Palisades, CA 90272. The listed phone number is (310) 454-2296.

What is Caroline Shim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Caroline Shim enrolled in Medicare?

Yes. Caroline Shim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Caroline Shim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Shim reassigns Medicare benefits to Providence Saint Johns Medical Foundation (Santa Monica, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caroline Shim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Caroline Shim was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.