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EDWIN KIM MD
NPI 1134549504
Psychiatry & Neurology - Addiction Psychiatry in Philadelphia, PA

Active since April 23, 2014PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3535 MARKET ST FL 5, PHILADELPHIA, PA 19104(215) 746-5900(215) 746-7350 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 10, 2022, Aug 11, 2021, Aug 14, 2019 and 1 more (4 updates tracked since 2019).

About Edwin Kim Md NPPES

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

EDWIN KIM MD (NPI 1134549504) is an individual addiction psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD463998) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1134549504
Entity TypeIndividualMale
Primary Taxonomy2084P0802X
Provider Legal NameEDWIN KIMCredential: MD
Location Address3535 MARKET ST FL 5Philadelphia, PA 19104-3345
Mailing Address3535 Market St Fl 5Philadelphia, PA 19104-3345 · (215) 746-5900 · Fax (215) 746-7350
Phone(215) 746-5900
Fax(215) 746-7350
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 23, 2014
Last NPPES UpdateMarch 10, 20224 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
✔ NPI 1134549504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License✔ Licensed in PA · MD463998
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD463998 (PA)
3535 MARKET ST FL 5, Philadelphia, PA 19104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health.Insurance ›

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

Edwin 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 ID3678837846
PECOS Enrollment IDI20190905000010
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 Edwin Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Penn-Medical Group
Same address
Psychiatry
3535 MARKET ST, 3RD FLOOR
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1821486846 (215) 746-6700
Aurora Behavioral Healthcare - Tempe, LLC
2,076 mi
Psychiatric Hospital
6350 S MAPLE AVE
Tempe, AZ 85283
  • Reassigned Medicare billing, Arizona enrollment
  • 30 clinicians in this Medicare group
NPI 1164744736 (480) 345-5410

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

GAIL KAEMPF CRNP
Nurse Practitioner (Family)
3535 MARKET ST FL 5
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-5900
CHRISTOPHER PAUL CHIANESE M.ED., MSN
Nurse Practitioner (Psychiatric/Mental Health)
3535 MARKET ST FL 5
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6701
TIFFANY DIANA SULLIVAN MS, LPC
Counselor (Mental Health)
3535 MARKET ST FL 5
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-4110

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 Edwin Kim's NPI number?

The NPI number for Edwin Kim is 1134549504. It was assigned to this individual provider in the NPPES registry on April 23, 2014.

Where is Edwin Kim located?

Edwin Kim practices at 3535 Market St Fl 5, Philadelphia, PA 19104. The listed phone number is (215) 746-5900.

What is Edwin Kim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Is Edwin Kim enrolled in Medicare?

Yes. Edwin 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 Edwin Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Kim reassigns Medicare benefits to 2 organizations: University Of Penn-Medical Group (Philadelphia, PA) and Aurora Behavioral Healthcare - Tempe, LLC (Tempe, AZ). 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 Edwin Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edwin Kim accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Edwin Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edwin Kim was last updated on March 10, 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.