PYONG S. KIM MD
NPI 1104993096
Otolaryngology - Plastic Surgery within the Head & Neck in Bellflower, CA
About Pyong S. Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PYONG S. KIM MD (NPI 1104993096) is an individual plastic surgery within the head & neck provider in Bellflower, California, licensed in California (G80688) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses
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
Pyong S. 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 Reassignment
Medicare enrollment records show Pyong Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bellflower, CA 90706
- Reassigned Medicare billing, California enrollment
- 13,921 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.
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.
BELLFLOWER, CA 90706
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 Pyong Kim's NPI number?
The NPI number for Pyong Kim is 1104993096. It was assigned to this individual provider in the NPPES registry on November 29, 2006.
Where is Pyong Kim located?
Pyong Kim practices at 9400 Rosecrans Ave, Bellflower, CA 90706. The listed phone number is (562) 461-3000.
What is Pyong Kim's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.
Is Pyong Kim enrolled in Medicare?
Yes. Pyong 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 organization bills Medicare for Pyong Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pyong Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Bellflower, 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 Pyong 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 Pyong Kim was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Pyong S. Kim, MD · NPI 1104993096
Plastic Surgery within the Head & Neck physician in Bellflower, California. Individual provider, active in the CMS NPPES registry since November 29, 2006.
## Identity
- **NPI:** 1104993096 (Entity type: Individual)
- **Enumerated:** November 29, 2006
- **Primary specialty:** Otolaryngology - Plastic Surgery within the Head & Neck · taxonomy 207YX0007X
- **State license:** G80688 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9400 ROSECRANS AVE, Bellflower, CA 90706-2246
- **Phone:** (562) 461-3000
## 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:** Southern California Permanente Medical Group (NPI 1043242555, Bellflower, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104993096) · Data from the CMS NPPES public registry.