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DR. JI-EON KIM M.D.
NPI 1043433535
Otolaryngology in Oakland, CA

Active since April 11, 2007PECOS EnrolledAccepts Medicare Assignment
280 W MACARTHUR BLVD, OAKLAND, CA 94611(510) 752-6400 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ji-eon Kim M.d. NPPES

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

DR. JI-EON KIM M.D. (NPI 1043433535) is an individual otolaryngology provider in Oakland, California, licensed in California (A99557) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2005).

NPPES Registry Identity

NPI1043433535
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JI-EON KIMCredential: M.D.
Location Address280 W MACARTHUR BLVDOakland, CA 94611-5642
Mailing Address532 30th St Apt 7Oakland, CA 94609-3223 · (510) 752-6400
Phone(510) 752-6400
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2005
Enumeration DateApril 11, 2007
Last NPPES UpdateDecember 15, 2021
✔ NPI 1043433535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CA · A99557
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
280 W MACARTHUR BLVD, Oakland, CA 94611
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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

Dr. Ji-eon Kim M.d. 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 ID7517098684
PECOS Enrollment IDI20100706000812
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 94611 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 20

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

JESSICA CHANG PHARM.D., APH
Pharmacist
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-8859
NORMA MIYEKO MARUBAYASHI HOLLOWAY PHARMD
Pharmacist
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6468
DIANA HIROS CRNA
Nurse Anesthetist, Certified Registered
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6238
IVY I. YU MD
Obstetrics & Gynecology
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
THERESE M. HICKEY MD
Anesthesiology
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
JOHN L. JONES MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
ANNETTE CHENEVEY CRNA
Nurse Anesthetist, Certified Registered
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6238
MRS. MICHELE NG PHARM.D.
Pharmacist
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6141

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 Ji-eon Kim's NPI number?

The NPI number for Ji-eon Kim is 1043433535. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Ji-eon Kim located?

Ji-eon Kim practices at 280 W Macarthur Blvd, Oakland, CA 94611. The listed phone number is (510) 752-6400.

What is Ji-eon Kim's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Ji-eon Kim enrolled in Medicare?

Yes. Ji-eon 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 Ji-eon Kim was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.