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MYUNG KIM MD
NPI 1104842640
Anesthesiology in Modesto, CA

Active since July 15, 2006PECOS Enrolled
83.63/100
CMS Quality Rating
1441 FLORIDA AVE, MODESTO, CA 95350(209) 578-1211 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Myung Kim Md NPPES

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

MYUNG KIM MD (NPI 1104842640) is an individual anesthesiology provider in Modesto, California, licensed in California (G81752) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104842640
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameMYUNG KIMCredential: MD
Location Address1441 FLORIDA AVEModesto, CA 95350-4405
Mailing AddressPo Box 28128Fresno, CA 93729-8128 · (559) 436-0871 · Fax (559) 436-5221
Phone(209) 578-1211
Sole ProprietorYes
Enumeration DateJuly 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104842640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · G81752
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1441 FLORIDA AVE, Modesto, CA 95350
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Other Identifiers 1

Medicare ID-Type Unspecified00G681750CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Valley Regional Anesthesia Associates Inc
88 mi
Anesthesiology
7341 N 1ST ST STE 106
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 293 clinicians in this Medicare group
NPI 1578272415 (559) 289-4574

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

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.

83.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.79
Promoting Interoperability97
Improvement Activities40
Cost62.56

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.

DR. THUY-LIEN THI LE M.D.
Student in an Organized Health Care Education/Training Program
1441 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 578-1211
MRS. JESSICA IZELLE WHIPKEY
Pharmacy Technician
1441 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 578-1211
VAN DINH DO
Family Medicine
1441 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 573-6147
KENIA YULISSA MEDINA MORENO
Pharmacist
1441 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 576-3622
JEFFREY ALAN DOELLING MD
Student in an Organized Health Care Education/Training Program
1441 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 578-1211
BRIAN PAUL RICHARDSON MD
Anesthesiology
1441 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (619) 933-4258
MRS. JOANNA FLORES R.N.
Registered Nurse
1441 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 578-1211
ALISON BERRIEN R.N.
Registered Nurse
1441 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 576-3637

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 Myung Kim's NPI number?

The NPI number for Myung Kim is 1104842640. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Myung Kim located?

Myung Kim practices at 1441 Florida Ave, Modesto, CA 95350. The listed phone number is (209) 578-1211.

What is Myung Kim's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Myung Kim enrolled in Medicare?

Yes. Myung Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Myung Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Myung Kim reassigns Medicare benefits to Valley Regional Anesthesia Associates Inc (Fresno, 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 Myung 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 Myung Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.