KISUNG KIM BM
NPI 1073939815
Pediatrics - Adolescent Medicine in Red Bluff, CA
About Kisung Kim Bm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KISUNG KIM BM (NPI 1073939815) is an individual adolescent medicine provider in Red Bluff, California, licensed in California (A141207) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kisung Kim Bm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
Reported Quality Measures
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.
RED BLUFF, CA 96080
RED BLUFF, CA 96080
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 Kisung Kim's NPI number?
The NPI number for Kisung Kim is 1073939815. It was assigned to this individual provider in the NPPES registry on March 17, 2014.
Where is Kisung Kim located?
Kisung Kim practices at 2450 Sister Mary Columba Dr, Red Bluff, CA 96080. The listed phone number is (530) 527-0414.
What is Kisung Kim's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.
Is Kisung Kim enrolled in Medicare?
Yes. Kisung Kim is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kisung Kim was last updated on April 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.