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KEVIN HYUNGWOO KIM M.D./PH.D.
NPI 1063755734
Dermatology in San Rafael, CA

Active since April 01, 2013PECOS EnrolledAccepts Medicare Assignment
99 MONTECILLO RD, SAN RAFAEL, CA 94903(415) 444-2000 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2022, Nov 6, 2018 (2 updates tracked since 2018).

About Kevin Hyungwoo Kim M.d./ph.d. NPPES

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

KEVIN HYUNGWOO KIM M.D./PH.D. (NPI 1063755734) is an individual dermatology provider in San Rafael, California, licensed in California (A152384) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2013).

NPPES Registry Identity

NPI1063755734
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameKEVIN HYUNGWOO KIMCredential: M.D./PH.D.
Location Address99 MONTECILLO RDSan Rafael, CA 94903-3308
Mailing Address99 Montecillo RdSan Rafael, CA 94903-3308 · (415) 444-2000
Phone(415) 444-2000
Sole ProprietorYes
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2013
Enumeration DateApril 1, 2013
Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration
✔ NPI 1063755734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A152384
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
99 MONTECILLO RD, San Rafael, CA 94903
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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

Kevin Hyungwoo Kim M.d./ph.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 ID4789990193
PECOS Enrollment IDI20190903002342
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 94903 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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.

MS. MARTA JUDY FRIEDMAN LCSW, JD
Social Worker (Clinical)
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 444-4396
DR. DAVID GREGORY MOSKOWITZ M.D.
Dermatology
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 444-2939
MICHELLE S. PARAISO MD
Anesthesiology
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
CHERYL KAHN MD
Radiology (Diagnostic Radiology)
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
PETER REIDY MD
Hospitalist
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 444-4885
MRS. JENNIFER KATE MOORE CCC SLP
Speech-Language Pathologist
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 889-3833
INNA YAKOVLEVNA SHEINSON MD
Internal Medicine
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
JENNIFER ALEXANDRIA CLARK
Nurse Anesthetist, Certified Registered
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (925) 229-7693

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 Kevin Kim's NPI number?

The NPI number for Kevin Kim is 1063755734. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Where is Kevin Kim located?

Kevin Kim practices at 99 Montecillo Rd, San Rafael, CA 94903. The listed phone number is (415) 444-2000.

What is Kevin Kim's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kevin Kim enrolled in Medicare?

Yes. Kevin 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 Kevin Kim was last updated on February 11, 2022. 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.