DR. MICHAEL SUNGMIN KIM M.D.
NPI 1124202023
Family Medicine in Anaheim, CA
About Dr. Michael Sungmin Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL SUNGMIN KIM M.D. (NPI 1124202023) is an individual family medicine provider in Anaheim, California, licensed in California (A99077) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
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. Michael Sungmin 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.
Medicare Billing Reassignment
Medicare enrollment records show Michael Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 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 92807 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.
ANAHEIM, CA 92807
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 Michael Kim's NPI number?
The NPI number for Michael Kim is 1124202023. It was assigned to this individual provider in the NPPES registry on December 27, 2007.
Where is Michael Kim located?
Michael Kim practices at 411 N Lakeview Ave, Anaheim, CA 92807. The listed phone number is (714) 279-5206.
What is Michael Kim's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Michael Kim enrolled in Medicare?
Yes. Michael 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 Michael Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Kim reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Michael 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 Michael Kim was last updated on December 20, 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.
# Dr. Michael Sungmin Kim, M.D. · NPI 1124202023
Family Medicine physician in Anaheim, California. Individual provider, active in the CMS NPPES registry since December 27, 2007.
## Identity
- **NPI:** 1124202023 (Entity type: Individual)
- **Enumerated:** December 27, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A99077 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 411 N LAKEVIEW AVE, Anaheim, CA 92807-3028
- **Phone:** (714) 279-5206
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** December 20, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1124202023) · Data from the CMS NPPES public registry.