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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JIN HEE KIM M.D.
NPI 1124310263
Internal Medicine in Rsm, CA

Active since May 09, 2011PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2026, May 24, 2018 (2 updates tracked since 2018).

About Jin Hee Kim M.d. NPPES

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

JIN HEE KIM M.D. (NPI 1124310263) is an individual internal medicine provider in Rsm, California, licensed in California (A115125) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1124310263
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJIN HEE KIMCredential: M.D.
Location AddressPO BOX 80697Rsm, CA 92688-0697
Mailing AddressPo Box 80697Rsm, CA 92688-0697 · (213) 700-3257
Phone(213) 700-3257
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 9, 2011
Last NPPES UpdateSeptember 9, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1124310263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A115125
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License A115125 (CA)
PO BOX 80697, Rsm, CA 92688
Open in Google Maps ↗

Other Identifiers 2

Medicaid06533308MS
Medicaid2162152LA

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

Jin Hee 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 ID8426229832
PECOS Enrollment IDI20130617000677
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 Jin Hee Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dazzle Health P C
15 mi
Family Medicine
14642 NEWPORT AVE STE 408
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 33 clinicians in this Medicare group
NPI 1578301495 (949) 570-7750
Beaver Medical Group P C
38 mi
Family Medicine
2 WEST FERN AVENUE
Redlands, CA 92373
  • Reassigned Medicare billing, California enrollment
  • 635 clinicians in this Medicare group
NPI 1649503319 (909) 793-3311

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 92688 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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 Jin Hee Kim's NPI number?

The NPI number for Jin Hee Kim is 1124310263. It was assigned to this individual provider in the NPPES registry on May 9, 2011.

Where is Jin Hee Kim located?

Jin Hee Kim practices at PO Box 80697, Rsm, CA 92688. The listed phone number is (213) 700-3257.

What is Jin Hee Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jin Hee Kim enrolled in Medicare?

Yes. Jin Hee 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 Jin Hee Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jin Hee Kim reassigns Medicare benefits to 2 organizations: Dazzle Health P C (Tustin, CA) and Beaver Medical Group P C (Redlands, CA). 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 Jin Hee 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 Jin Hee Kim was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.