VIVIAN TERESA KIM MD
NPI 1083666564
Anesthesiology in Milwaukee, WI
About Vivian Teresa Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIVIAN TERESA KIM MD (NPI 1083666564) is an individual anesthesiology provider in Milwaukee, Wisconsin, licensed in Iowa (MD54457) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Vivian Teresa Kim Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Vivian Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Des Moines, IA 50314
- Reassigned Medicare billing, Iowa and California enrollments
- Also billed through NPI 1861373631 (California)
- 209 clinicians in this Medicare group
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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 2
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.
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.
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.
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 Vivian Kim's NPI number?
The NPI number for Vivian Kim is 1083666564. It was assigned to this individual provider in the NPPES registry on May 16, 2006.
Where is Vivian Kim located?
Vivian Kim practices at 2900 W Oklahoma Ave, Milwaukee, WI 53215. The listed phone number is (650) 742-2000.
What is Vivian Kim's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Vivian Kim enrolled in Medicare?
Yes. Vivian 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 organizations bill Medicare for Vivian Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vivian Kim reassigns Medicare benefits to 2 organizations: Cep America - Anesthesia PC (Des Moines, IA) and Permanente Medical Group Inc (Stockton, CA). Each 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 Vivian 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 Vivian Kim was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Vivian Teresa Kim, MD · NPI 1083666564
Anesthesiology physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since May 16, 2006.
## Identity
- **NPI:** 1083666564 (Entity type: Individual)
- **Enumerated:** May 16, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** MD54457 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 2900 W OKLAHOMA AVE, Milwaukee, WI 53215-4330
- **Phone:** (650) 742-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cep America - Anesthesia PC (NPI 1023809076, Des Moines, IA); Permanente Medical Group Inc (NPI 1548343510, Stockton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** May 27, 2025
- **Other identifiers:** Medicaid 00G785730 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1083666564) · Data from the CMS NPPES public registry.