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SUSAN J KIM MD
NPI 1114160405
Allergy & Immunology in San Francisco, CA

Active since April 15, 2009PECOS EnrolledAccepts Medicare Assignment
6850 GEARY BLVD, SAN FRANCISCO, CA 94121(415) 751-6800(415) 751-6808 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 16, 2021, Dec 7, 2015 (2 updates tracked since 2015).

About Susan J Kim Md NPPES

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

SUSAN J KIM MD (NPI 1114160405) is an individual allergy & immunology provider in San Francisco, California, licensed in California (A113591) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2009).

NPPES Registry Identity

NPI1114160405
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameSUSAN J KIMCredential: MD
Location Address6850 GEARY BLVDSan Francisco, CA 94121-1604
Mailing Address6850 Geary BlvdSan Francisco, CA 94121-1604 · (415) 751-6800 · Fax (415) 751-6808
Phone(415) 751-6800
Fax(415) 751-6808
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2009
Enumeration DateApril 15, 2009
Last NPPES UpdateDecember 16, 20212 updates tracked since enumeration
✔ NPI 1114160405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in CA · A113591
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedInternal MedicineTaxonomy 207R00000X · License A113591 (CA)
Also ListedInternal Medicine · Allergy & ImmunologyTaxonomy 207RA0201X · License A113591 (CA)
6850 GEARY BLVD, San Francisco, CA 94121
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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

Susan J 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 ID2365660560
PECOS Enrollment IDI20170821002596
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 Susan Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
2.9 mi
Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1841373800 (415) 833-2200

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 3

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

DR. SCHUMAN TAM M.D.
Specialist
6850 GEARY BLVD
SAN FRANCISCO, CA 94121
San Francisco County (415) 751-6800
DR. DONALD F GERMAN M.D.
Specialist
6850 GEARY BLVD
SAN FRANCISCO, CA 94121
San Francisco County (415) 751-6800
JAMES L. CHEN DO
Allergy & Immunology
6850 GEARY BLVD
SAN FRANCISCO, CA 94121
San Francisco County (415) 751-6800

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 Susan Kim's NPI number?

The NPI number for Susan Kim is 1114160405. It was assigned to this individual provider in the NPPES registry on April 15, 2009.

Where is Susan Kim located?

Susan Kim practices at 6850 Geary Blvd, San Francisco, CA 94121. The listed phone number is (415) 751-6800.

What is Susan Kim's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Susan Kim enrolled in Medicare?

Yes. Susan 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 Susan Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Kim reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, 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 Susan 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 Susan Kim was last updated on December 16, 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.