TAE HYUN KIM D P M INC
NPI 1083651038
Podiatrist in Van Nuys, CA

Q: What is Tae Kim's NPI number?

The NPI number for Tae Kim is 1083651038. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Q: What is Tae Kim's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Tae Kim was last updated on July 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment

13701 BURBANK BLVD, VAN NUYS, CA 91401(818) 997-1216(818) 997-4458 Get Directions Write a Review

NPPES record last updated: July 20, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Tae Hyun Kim D P M Inc NPPES

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

TAE HYUN KIM D P M INC (NPI 1083651038) is an individual podiatrist in Van Nuys, California, licensed in California (E4262) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (1998).

NPPES Registry Identity

NPI1083651038

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameTAE HYUN KIMCredential: D P M INC

Location Address13701 BURBANK BLVDVan Nuys, CA 91401-5040

Mailing Address13701 Burbank BlvdVan Nuys, CA 91401-5040 · (818) 997-1216 · Fax (818) 997-4458

Phone(818) 997-1216

Fax(818) 997-4458

Sole ProprietorNo

Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1998

Enumeration DateMay 31, 2006

Last NPPES UpdateJuly 20, 2009

✔ NPI 1083651038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in CA · E4262

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

13701 BURBANK BLVD, Van Nuys, CA 91401

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Other Identifiers 3

Medicare ID-Type UnspecifiedE4262ACA

Medicare PINAO702ZCA

Medicare UPINU82730CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tae Hyun Kim D P M Inc 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 ID840277687

PECOS Enrollment IDI20040630000661

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 Tae Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tae Hyun Kim DPM Inc

Same address

Foot & Ankle Surgery

13701 BURBANK BLVD
Van Nuys, CA 91401

Reassigned Medicare billing, California enrollment

NPI 1295967719 (818) 997-1216

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

Areas of Expertise CMS Part B claims 13

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.

Epifix, per square centimeter Q4186

Epifix is an advanced wound care treatment, derived from human placental tissue. It helps to promote healing by providing a protective barrier and supplying growth factors. Each square centimeter refers to the size of the Epifix graft needed for your specific wound.

3,103 services22 patients

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.

440 services146 patients

Simple separation of fingernail or toenail from nail bed, first nail 11730

This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.

347 services142 patients

Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm 11426

This procedure involves the removal of a noncancerous growth on the scalp, neck, hands, or feet that is larger than 4.0 cm. It's performed by a medical professional using safe and sterile techniques to ensure minimal discomfort and quick recovery.

242 services132 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

165 services135 patients

Complicated or multiple drainage of skin abscess 10061

This procedure involves draining one or more skin abscesses, which are pockets of pus that form due to an infection. The process includes making a small cut on the abscess, removing the pus, and cleaning the area to promote healing and prevent further infection.

128 services75 patients

Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less 15275

This procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.

109 services22 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

85 services22 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

76 services56 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.

53 services44 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.

34 services34 patients

Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm 11424

This procedure involves removing a noncancerous growth on the scalp, neck, hands, or feet that is between 3.1 to 4.0 cm in size. A medical professional will carefully excise the growth, ensuring minimal discomfort. Post-procedure care will be provided to promote healing.

33 services28 patients

Injection into tendon at attachment to bone or muscle 20551

This procedure involves injecting medicine into a tendon where it attaches to bone or muscle. It's done to alleviate pain or inflammation. The injection may contain a local anesthetic or a corticosteroid to reduce swelling. It's a common treatment for various orthopedic conditions.

20 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91401 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

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 3

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

DR. MICHAEL BLAKE RUNYON DPM

Podiatrist (Foot Surgery)

13701 BURBANK BLVD
VAN NUYS, CA 91401

Los Angeles County (818) 997-1216

TAE HYUN KIM DPM INC

Podiatrist (Foot & Ankle Surgery)

13701 BURBANK BLVD
VAN NUYS, CA 91401

Los Angeles County (818) 997-1216

CAREWELL MED SUPPLY

Durable Medical Equipment & Medical Supplies

13701 BURBANK BLVD
VAN NUYS, CA 91401

Los Angeles County (818) 646-0006

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 Tae Kim's NPI number?

The NPI number for Tae Kim is 1083651038. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Tae Kim located?

Tae Kim practices at 13701 Burbank Blvd, Van Nuys, CA 91401. The listed phone number is (818) 997-1216.

What is Tae Kim's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Tae Kim enrolled in Medicare?

Yes. Tae 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.

Which organization bills Medicare for Tae Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tae Kim reassigns Medicare benefits to Tae Hyun Kim DPM Inc (Van Nuys, 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 Tae Kim'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 Tae Kim was last updated on July 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.