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MICHAEL JAE BUM KIM D.P.M.
NPI 1073951190
Podiatrist - Foot & Ankle Surgery in Rancho Cucamonga, CA

Active since June 11, 2013PECOS EnrolledAccepts Medicare Assignment
9353 FAIRWAY VIEW PL STE 100, RANCHO CUCAMONGA, CA 91730(909) 858-2772(909) 300-6324 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 1, 2022, Jun 28, 2016 (2 updates tracked since 2016).

About Michael Jae Bum Kim D.p.m. NPPES

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

MICHAEL JAE BUM KIM D.P.M. (NPI 1073951190) is an individual foot & ankle surgery provider in Rancho Cucamonga, California, licensed in California (E5294) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Podiatric Medicine (2013).

NPPES Registry Identity

NPI1073951190
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameMICHAEL JAE BUM KIMCredential: D.P.M.
Location Address9353 FAIRWAY VIEW PL STE 100Rancho Cucamonga, CA 91730-0972
Mailing Address9353 Fairway View Pl Ste 100Rancho Cucamonga, CA 91730-0972 · (909) 858-2772 · Fax (909) 300-6324
Phone(909) 858-2772
Fax(909) 300-6324
Sole ProprietorNo
Medical School CMSTemple University School Of Podiatric MedicineGraduated 2013
Enumeration DateJune 11, 2013
Last NPPES UpdateFebruary 23, 20242 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
✔ NPI 1073951190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in CA · E5294✔ Licensed in MI · 5901002476
9353 FAIRWAY VIEW PL STE 100, Rancho Cucamonga, CA 91730
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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

Michael Jae Bum Kim D.p.m. 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 ID8325335870
PECOS Enrollment IDI20221107001002
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
118 services34 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
44 services21 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
32 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients

Other Providers at the Same Location NPPES

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

MICHAEL J KIM DPM PC
Clinic/Center (Podiatric)
9353 FAIRWAY VIEW PL STE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 858-2772

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 Michael Kim's NPI number?

The NPI number for Michael Kim is 1073951190. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Where is Michael Kim located?

Michael Kim practices at 9353 Fairway View Pl Ste 100, Rancho Cucamonga, CA 91730. The listed phone number is (909) 858-2772.

What is Michael Kim's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Michael Kim enrolled in Medicare?

Yes. Michael 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 Michael Kim was last updated on February 23, 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.