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ANGELA JEEWON KIM DO
NPI 1093337107
Internal Medicine in St Petersburg, FL

Active since May 12, 2020PECOS EnrolledAccepts Medicare Assignment
620 10TH ST N STE 1E, ST PETERSBURG, FL 33705(727) 824-3120 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2023, May 12, 2020 (2 updates tracked since 2020).

About Angela Jeewon Kim Do NPPES

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

ANGELA JEEWON KIM DO (NPI 1093337107) is an individual internal medicine provider in St Petersburg, Florida, licensed in Florida (OS20164) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1093337107
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameANGELA JEEWON KIMCredential: DO
Location Address620 10TH ST N STE 1ESt Petersburg, FL 33705-1407
Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 532-0002
Phone(727) 824-3120
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 12, 2020
Last NPPES UpdateFebruary 24, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
✔ NPI 1093337107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · OS20164✔ Licensed in MI · 5151014483
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
620 10TH ST N STE 1E, St Petersburg, FL 33705
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Angela Jeewon Kim Do 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 ID1456772243
PECOS Enrollment IDI20230901000564
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 6

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
228 services109 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.
44 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
13 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100067
Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County
Emergency services

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33705 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 7

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

BRYAN GAYNE D.O.
Family Medicine
620 10TH ST N STE 1E
ST PETERSBURG, FL 33705
Pinellas County (727) 824-3120
MLADEN NIKOLIC APRN
Nurse Practitioner (Family)
620 10TH ST N STE 1E
ST PETERSBURG, FL 33705
Pinellas County (727) 824-3120
ERNEST C VON HARTEN IV DO
Family Medicine
620 10TH ST N STE 1E
ST PETERSBURG, FL 33705
Pinellas County (727) 824-3120
DR. CONRAD HERNANDEZ VINALON JR. M.D.
Family Medicine
620 10TH ST N STE 1E
ST PETERSBURG, FL 33705
Pinellas County (727) 824-3120
KATRINA POTITHAVORANANT
Physician Assistant (Medical)
620 10TH ST N STE 1E
SAINT PETERSBURG, FL 33705
Pinellas County (727) 824-3120
CARLY ESPOSITO MD
Family Medicine
620 10TH ST N STE 1E
ST PETERSBURG, FL 33705
Pinellas County (727) 824-3120
BAYCARE MEDICAL GROUP INC
Family Medicine
620 10TH ST N STE 1E
ST PETERSBURG, FL 33705
Pinellas County (727) 824-3120

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 Angela Kim's NPI number?

The NPI number for Angela Kim is 1093337107. It was assigned to this individual provider in the NPPES registry on May 12, 2020.

Where is Angela Kim located?

Angela Kim practices at 620 10th St N Ste 1E, St Petersburg, FL 33705. The listed phone number is (727) 824-3120.

What is Angela Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Angela Kim enrolled in Medicare?

Yes. Angela 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.

What insurance does Angela Kim accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Angela Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Angela Kim affiliated with any hospitals?

According to CMS data, Angela Kim is affiliated with St Anthonys Hospital and St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Angela Kim was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.