DALIM KI DO
NPI 1114396405
Family Medicine in San Francisco, CA
About Dalim Ki Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DALIM KI DO (NPI 1114396405) is an individual family medicine provider in San Francisco, California, licensed in Washington (OP60965939) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dalim Ki Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Dalim Ki reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94111
- Reassigned Medicare billing, Washington enrollment
- 12 clinicians in this Medicare group
Bellevue, WA 98004
- Reassigned Medicare billing, Washington enrollment
- 566 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN FRANCISCO, CA 94111
SAN FRANCISCO, CA 94111
SAN FRANCISCO, CA 94111
SAN FRANCISCO, CA 94111
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 Dalim Ki's NPI number?
The NPI number for Dalim Ki is 1114396405. It was assigned to this individual provider in the NPPES registry on September 17, 2015.
Where is Dalim Ki located?
Dalim Ki practices at 1 California St Ste 2300, San Francisco, CA 94111. The listed phone number is (800) 997-6196.
What is Dalim Ki's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dalim Ki enrolled in Medicare?
Yes. Dalim Ki is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Dalim Ki's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dalim Ki reassigns Medicare benefits to 2 organizations: Doctor On Demand Professionals P C (San Francisco, CA) and Overlake Medical Clinics, LLC (Bellevue, WA). 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 Dalim Ki'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 Dalim Ki was last updated on December 21, 2023. 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.
# Dalim Ki, DO · NPI 1114396405
Family Medicine physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since September 17, 2015.
## Identity
- **NPI:** 1114396405 (Entity type: Individual)
- **Enumerated:** September 17, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OP60965939 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 CALIFORNIA ST STE 2300, San Francisco, CA 94111-5424
- **Phone:** (800) 997-6196 · **Fax:** (415) 504-1367
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Doctor On Demand Professionals P C (NPI 1174931448, San Francisco, CA); Overlake Medical Clinics, LLC (NPI 1801828421, Bellevue, WA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 21, 2023
- **Other identifiers:** Medicaid 2064737 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1114396405) · Data from the CMS NPPES public registry.