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DR. ANGELO KIM M.D.
NPI 1114212743
Emergency Medicine in Palmdale, CA

Active since June 11, 2011PECOS EnrolledAccepts Medicare Assignment
38600 MEDICAL CENTER DRIVE,, PALMDALE, CA 93551(661) 382-5000 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Angelo Kim M.d. NPPES

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

DR. ANGELO KIM M.D. (NPI 1114212743) is an individual emergency medicine provider in Palmdale, California, licensed in Nevada (16843) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Saint Rose Dominican Hospitals - Rose De Lima, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1114212743
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ANGELO KIMCredential: M.D.
Location Address38600 MEDICAL CENTER DRIVE,Palmdale, CA 93551
Mailing Address27404 N. Evan Ln, #102Santa Clarita, CA 91387 · (661) 434-5987
Phone(661) 382-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 11, 2011
Last NPPES UpdateJune 6, 2024
NPPES CertifiedJune 6, 2024
✔ NPI 1114212743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NV · 16843✔ Licensed in PA · 199092
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
38600 MEDICAL CENTER DRIVE,, Palmdale, CA 93551
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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

Dr. Angelo Kim M.d. 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 ID8123246121
PECOS Enrollment IDI20170508002534
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 Reassignments

2

Medicare enrollment records show Angelo Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fremont Emergency Services Scherr Ltd
191 mi
Emergency Medicine
9300 W SUNSET RD
Las Vegas, NV 89148
  • Reassigned Medicare billing, Nevada enrollment
  • 304 clinicians in this Medicare group
NPI 1679550149 (702) 880-2800
Vituity-Nevada Medical Services Koury & Partners PC
191 mi
Emergency Medicine
8280 W WARM SPRINGS RD
Las Vegas, NV 89113
  • Reassigned Medicare billing, Nevada enrollment
  • 100 clinicians in this Medicare group
NPI 1720828585 (702) 492-8600

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

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
127 services127 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
109 services107 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
53 services53 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
43 services43 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Rose Dominican Hospitals - Rose De Lima

Acute Care Hospitals · Henderson, NV
OwnershipVoluntary non-profit - Private
CMS Certification Number290012
Location102 E Lake Mead DrHenderson, NV 89015 · Clark County
Emergency services

Saint Rose Dominican Hospitals - Siena Campus

Acute Care Hospitals · Henderson, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290045
Location3001 St Rose ParkwayHenderson, NV 89052 · Clark County
Emergency services Birthing friendly

Saint Rose Dominican Hospitals - North Las Vegas

Acute Care Hospitals · North Las Vegas, NV
OwnershipProprietary
CMS Certification Number290058
Location1550 W Craig RanchNorth Las Vegas, NV 89031 · Clark County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93551 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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.

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 Angelo Kim's NPI number?

The NPI number for Angelo Kim is 1114212743. It was assigned to this individual provider in the NPPES registry on June 11, 2011.

Where is Angelo Kim located?

Angelo Kim practices at 38600 Medical Center Drive,, Palmdale, CA 93551. The listed phone number is (661) 382-5000.

What is Angelo Kim's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Angelo Kim enrolled in Medicare?

Yes. Angelo 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 organizations bill Medicare for Angelo Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelo Kim reassigns Medicare benefits to 2 organizations: Fremont Emergency Services Scherr Ltd (Las Vegas, NV) and Vituity-Nevada Medical Services Koury & Partners PC (Las Vegas, NV). Each 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 Angelo Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Angelo Kim affiliated with any hospitals?

According to CMS data, Angelo Kim is affiliated with Saint Rose Dominican Hospitals - Rose De Lima, Saint Rose Dominican Hospitals - Siena Campus and Saint Rose Dominican Hospitals - North Las Vegas.

When was this NPI record last updated?

The NPPES record for Angelo Kim was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.