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JENNIFER KIM MD
NPI 1124178892
Ophthalmology in Philadelphia, PA

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
601 WALNUT ST, SUITE L30, PHILADELPHIA, PA 19106(215) 925-6402(215) 925-0262 Get Directions Write a Review

NPPES record last updated: January 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jennifer Kim Md NPPES

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

JENNIFER KIM MD (NPI 1124178892) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD443077) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2006).

NPPES Registry Identity

NPI1124178892
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameJENNIFER KIMCredential: MD
Location Address601 WALNUT ST, SUITE L30Philadelphia, PA 19106
Mailing Address10810 Connecticut AveKensington, MD 20895-2138 · (301) 974-4628
Phone(215) 925-6402
Fax(215) 925-0262
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2006
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJanuary 8, 2022
NPPES CertifiedJune 24, 2021
✔ NPI 1124178892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD443077
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
601 WALNUT ST, Philadelphia, PA 19106
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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

Jennifer 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 ID4284765041
PECOS Enrollment IDI20141015001261
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 Jennifer Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
94 mi
Ambulatory Surgical
1701 TWIN SPRINGS RD
Halethorpe, MD 21227
NPI 1942546486 (301) 816-2424

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

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19106 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 19

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

DR. LAUREL S. LIPSHUTZ M.D.
Psychiatry & Neurology (Psychiatry)
601 WALNUT ST, THE CURTIS CENTER, SUITE 960W
PHILADELPHIA, PA 19106
Philadelphia County (215) 923-7851
HANNAH LYNN SINKS
Physical Therapist
601 WALNUT ST
PHILADELPHIA, PA 19106
Philadelphia County (215) 867-8753
HEMORRHOID CARE CENTERS, PC
Specialist
601 WALNUT ST, SUITE L55
PHILADELPHIA, PA 19106
Philadelphia County (215) 238-0220
RICHARD ATWATER BALDERSTON M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
601 WALNUT ST, SUITE L50
PHILADELPHIA, PA 19106
Philadelphia County (215) 409-9300
KAY & TABAS OPHTHALMOLOGY
Specialist
601 WALNUT ST, SUITE L30
PHILA, PA 19106
Philadelphia County (215) 925-6402
VAUGHAN C GRAVES MD
Dermatology
601 WALNUT ST, SUITE L90
PHILA, PA 19106
Philadelphia County (215) 238-1622
STEVEN ZAVODNICK M.D.
Psychiatry & Neurology (Psychiatry)
601 WALNUT ST, SUITE 960W
PHILADELPHIA, PA 19106
Philadelphia County (215) 592-7852
DR. JAYRAG A PATEL MD
Ophthalmology
601 WALNUT ST, STE L30
PHILADELPHIA, PA 19106
Philadelphia County (212) 925-6402

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 Jennifer Kim's NPI number?

The NPI number for Jennifer Kim is 1124178892. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Jennifer Kim located?

Jennifer Kim practices at 601 Walnut St Suite L30, Philadelphia, PA 19106. The listed phone number is (215) 925-6402.

What is Jennifer Kim's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jennifer Kim enrolled in Medicare?

Yes. Jennifer 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 Jennifer Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Kim reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Halethorpe, MD). 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 Jennifer 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 Jennifer Kim was last updated on January 8, 2022. 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.