DR. EDWARD HYOUNWOO KIM MD
NPI 1124342977
Family Medicine in Oakley, CA

Active since March 23, 2010PECOS EnrolledAccepts Medicare Assignment
2021 MAIN ST, OAKLEY, CA 94561(925) 776-8200(925) 776-8260 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Edward Hyounwoo Kim Md NPPES

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

DR. EDWARD HYOUNWOO KIM MD (NPI 1124342977) is an individual family medicine provider in Oakley, California, licensed in California (A126368) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (2010).

NPPES Registry Identity

NPI1124342977
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EDWARD HYOUNWOO KIMCredential: MD
Location Address2021 MAIN STOakley, CA 94561-3302
Mailing AddressPo Box 22210Oakland, CA 94623-2210 · (510) 535-4000 · Fax (510) 535-4189
Fax(925) 776-8260
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2010
Enumeration DateMarch 23, 2010
Last NPPES UpdateMarch 9, 2023
NPPES CertifiedMarch 9, 2023
NPI 1124342977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A126368
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2021 MAIN ST, Oakley, CA 94561

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Edward Hyounwoo 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 ID4486872983
PECOS Enrollment IDI20181008003288
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.

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94561 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers24 claims43 services$5.03 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims14 services$0.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner
2021 MAIN ST
OAKLEY, CA 94561
Family Medicine
2021 MAIN ST
OAKLEY, CA 94561
Nurse Practitioner (Family)
2021 MAIN ST
OAKLEY, CA 94561
Family Medicine
2021 MAIN ST
OAKLEY, CA 94561
Physician Assistant
2021 MAIN ST
OAKLEY, CA 94561
Marriage & Family Therapist
2021 MAIN ST
OAKLEY, CA 94561
Marriage & Family Therapist
2021 MAIN ST
OAKLEY, CA 94561
Nurse Practitioner (Pediatrics)
2021 MAIN ST
OAKLEY, CA 94561

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 Edward Kim's NPI number?

The NPI number for Edward Kim is 1124342977. It was assigned to this individual provider in the NPPES registry on March 23, 2010.

Where is Edward Kim located?

Edward Kim practices at 2021 Main St, Oakley, CA 94561. The listed phone number is (925) 776-8200.

What is Edward Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Edward Kim enrolled in Medicare?

Yes. Edward 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.

When was this NPI record last updated?

The NPPES record for Edward Kim was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.