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

Q: 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.

Q: What is Edwin Kim's specialty?

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

Q: 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.

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: August 09, 2026.

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

On this page

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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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

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 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

Quality

73.6

Promoting Interoperability

100

Improvement Activities

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.

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.