DAVID DONGYOUNG KIM MD
NPI 1104966654
Internal Medicine - Gastroenterology in Los Angeles, CA

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment
6041 CADILLAC AVE, LOS ANGELES, CA 90034(323) 857-2000 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Dongyoung Kim Md NPPES

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

DAVID DONGYOUNG KIM MD (NPI 1104966654) is an individual gastroenterology provider in Los Angeles, California, licensed in California (G81419) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (1993).

NPPES Registry Identity

NPI1104966654
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDAVID DONGYOUNG KIMCredential: MD
Location Address6041 CADILLAC AVELos Angeles, CA 90034-1702
Mailing Address6041 Cadillac AveLos Angeles, CA 90034-1702 · (323) 857-2000
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1993
Enumeration DateFebruary 7, 2007
Last NPPES UpdateNovember 30, 2021
NPI 1104966654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CA · G81419
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

6041 CADILLAC AVE, Los Angeles, CA 90034

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

David Dongyoung 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.

PECOS PAC ID7012048564
PECOS Enrollment IDI20100626000412
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90034 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Speech-Language Pathologist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Advanced Practice Midwife
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Internal Medicine (Cardiovascular Disease)
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE, KAISER WEST LOS ANGELES MEDICAL CENTER
LOS ANGELES, CA 90034
Internal Medicine
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Internal Medicine
6041 CADILLAC AVE, INTERNAL MEDICINE MODULE 2D
LOS ANGELES, CA 90034
Internal Medicine (Nephrology)
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Anesthesiology
6041 CADILLAC AVE
LOS ANGELES, CA 90034

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 David Kim's NPI number?

The NPI number for David Kim is 1104966654. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is David Kim located?

David Kim practices at 6041 Cadillac Ave, Los Angeles, CA 90034. The listed phone number is (323) 857-2000.

What is David Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is David Kim enrolled in Medicare?

Yes. David 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.

When was this NPI record last updated?

The NPPES record for David Kim was last updated on November 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.