REBEKAH JEEHAE KIM D.O.
NPI 1093150054
Pediatrics in Sacramento, CA

Q: What is Rebekah Kim's NPI number?

The NPI number for Rebekah Kim is 1093150054. It was assigned to this individual provider in the NPPES registry on May 3, 2013.

Q: What is Rebekah Kim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Rebekah Kim was last updated on February 16, 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.

Active since May 03, 2013PECOS Enrolled

3701 J ST STE 201, SACRAMENTO, CA 95816(916) 454-2345 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2022, Aug 16, 2018, Feb 3, 2017 (3 updates tracked since 2017).

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About Rebekah Jeehae Kim D.o. NPPES

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

REBEKAH JEEHAE KIM D.O. (NPI 1093150054) is an individual pediatrics provider in Sacramento, California, licensed in California (20A14536) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Vacaville.

NPPES Registry Identity

NPI1093150054

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameREBEKAH JEEHAE KIMCredential: D.O.

Location Address3701 J ST STE 201Sacramento, CA 95816-5542

Mailing Address1860 Howe Ave Ste 440Sacramento, CA 95825-1098 · (916) 569-8484

Phone(916) 454-2345

Sole ProprietorNo

Enumeration DateMay 3, 2013

Last NPPES UpdateFebruary 16, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2024

✔ NPI 1093150054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · 20A14536

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3701 J ST STE 201, Sacramento, CA 95816

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Secondary Practice Location 1

Location 11119 E Monte Vista Ave # MS 32-200Vacaville, CA 95688 · Phone (707) 469-4640

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebekah Jeehae Kim D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Permanente Medical Group Inc

39 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

Most-billed visit code 99214

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.

MIWAKO OHARA-HSU M.D.

Internal Medicine