HAN SOO KIM M.D.
NPI 1124078282
Surgery in Santa Maria, CA

Q: What is Han Kim's NPI number?

The NPI number for Han Kim is 1124078282. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Q: What is Han Kim's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Han Kim was last updated on February 27, 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.

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

1325 E CHURCH ST, SUITE 204, SANTA MARIA, CA 93454(805) 346-3456(805) 347-3457 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Han Soo Kim M.d. NPPES

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

HAN SOO KIM M.D. (NPI 1124078282) is an individual surgery provider in Santa Maria, California, licensed in California (A92762) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Maria, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1124078282

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameHAN SOO KIMCredential: M.D.

Location Address1325 E CHURCH ST, SUITE 204Santa Maria, CA 93454

Mailing AddressPo Box 1206Goleta, CA 93116-1206 · (805) 964-3838 · Fax (805) 683-3400

Phone(805) 346-3456

Fax(805) 347-3457

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateMay 11, 2006

Last NPPES UpdateFebruary 27, 2024

NPPES CertifiedFebruary 27, 2024

✔ NPI 1124078282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · A92762

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1325 E CHURCH ST, Santa Maria, CA 93454

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Secondary Practice Location 1

Location 1316 S Stratford Ave Ste BSanta Maria, CA 93454-5908 · Phone (805) 332-8446 · Fax (805) 332-8483

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

Han Soo 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 ID5890704886

PECOS Enrollment IDI20060420000291

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 Han Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Central Coast Health Centers

Same address

Community Health

1325 E CHURCH ST, SUITE 202
Santa Maria, CA 93454

Reassigned Medicare billing, California enrollment
263 clinicians in this Medicare group

NPI 1265789721 (805) 346-3456

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 14

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

116 services116 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

90 services66 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

85 services46 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

35 services34 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

31 services22 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

29 services28 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

26 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services23 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

25 services25 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

25 services22 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

18 services14 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

15 services15 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

11 services11 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 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

$94.71 typical visit price

range $62.01 – $184.40

Typical copayment $23.67 (range $15.50 – $46.10)

Most-billed visit code 99203

Established Patient

$76.76 typical visit price

range $20.60 – $151.20

Typical copayment $19.19 (range $5.15 – $37.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Other Providers at the Same Location NPPES 8

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

DR. CHERYL DURSTEIN-DECKER M.D. FACEP

Emergency Medicine

1325 E CHURCH ST, SUITE 202
SANTA MARIA, CA 93454

Santa Barbara County (805) 346-3456

VAGINAL AND PELVIC SURGEONS, INC

Clinic/Center (Oncology)

1325 E CHURCH ST
SANTA MARIA, CA 93454

Santa Barbara County (805) 219-4673

EILEEN LUSSIER PH.D.

Psychologist (Clinical)

1325 E CHURCH ST, 207, MAILBOX 12
SANTA MARIA, CA 93454

Santa Barbara County (805) 904-0399

DR. ROBERT ANDREW DICHMANN MD

Internal Medicine (Hematology & Oncology)

1325 E CHURCH ST, STE. 301
SANTA MARIA, CA 93454

Santa Barbara County (805) 349-9393

PACIFIC CENTRAL COAST HEALTH CENTERS

Clinic/Center (Community Health)

1325 E CHURCH ST, SUITE 202
SANTA MARIA, CA 93454

Santa Barbara County (805) 346-3456

JILLIAN JEAN WEIDNER PA

Physician Assistant

1325 E CHURCH ST
SANTA MARIA, CA 93454

Santa Barbara County (805) 346-3456

CENTRAL COAST MEDICAL ONCOLOGY CORP

Internal Medicine (Hematology & Oncology)

1325 E CHURCH ST, STE. 301
SANTA MARIA, CA 93454

Santa Barbara County (805) 349-9393

DR. DYLAN REID CONROY MD

Radiology (Radiation Oncology)

1325 E CHURCH ST
SANTA MARIA, CA 93454

Santa Barbara County (805) 925-2529

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 Han Kim's NPI number?

The NPI number for Han Kim is 1124078282. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Han Kim located?

Han Kim practices at 1325 E Church St Suite 204, Santa Maria, CA 93454. The listed phone number is (805) 346-3456.

What is Han Kim's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Han Kim enrolled in Medicare?

Yes. Han 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 Han Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Han Kim reassigns Medicare benefits to Pacific Central Coast Health Centers (Santa Maria, 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 Han 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 Han Kim was last updated on February 27, 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.