JEAN KIM MD
NPI 1144367921
Pediatrics in Honolulu, HI
About Jean Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEAN KIM MD (NPI 1144367921) is an individual pediatrics provider in Honolulu, Hawaii, licensed in California (A89809) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jean Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Jean Kim reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Honolulu, HI 96826
- Reassigned Medicare billing, Hawaii enrollment
- 370 clinicians in this Medicare group
Honolulu, HI 96814
- Reassigned Medicare billing, Hawaii enrollment
- Medicare enrollment name: The Queens Medical Center
- 809 clinicians in this Medicare group
Honolulu, HI 96813
- Reassigned Medicare billing, Hawaii enrollment
- 859 clinicians in this Medicare group
Kamuela, HI 96743
- Reassigned Medicare billing, Hawaii enrollment
- 277 clinicians in this Medicare group
Palo Alto, CA 94301
- Reassigned Medicare billing, California enrollment
- 4,479 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 96826 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.
HONOLULU, HI 96826
HONOLULU, HI 96826
HONOLULU, HI 96826
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 Jean Kim's NPI number?
The NPI number for Jean Kim is 1144367921. It was assigned to this individual provider in the NPPES registry on January 31, 2007.
Where is Jean Kim located?
Jean Kim practices at 1319 Punahou St, Honolulu, HI 96826. The listed phone number is (808) 986-8673.
What is Jean Kim's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jean Kim enrolled in Medicare?
Yes. Jean Kim is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jean Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jean Kim reassigns Medicare benefits to 5 organizations: Kapiolani Medical Specialists (Honolulu, HI), The Queen's Medical Center (Honolulu, HI), Queens University Medical Group (Honolulu, HI), Queens North Hawaii Community Hospital (Kamuela, HI) and Sutter Bay Medical Foundation (Palo Alto, 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 Jean Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jean Kim accept?
Health plans from HMSA list Jean 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 Jean Kim was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Jean Kim, MD · NPI 1144367921
Pediatrics physician in Honolulu, Hawaii. Individual provider, active in the CMS NPPES registry since January 31, 2007.
## Identity
- **NPI:** 1144367921 (Entity type: Individual)
- **Enumerated:** January 31, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A89809 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1319 PUNAHOU ST, Honolulu, HI 96826
- **Phone:** (808) 986-8673
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Kapiolani Medical Specialists (NPI 1124071014, Honolulu, HI); The Queen's Medical Center (NPI 1366065591, Honolulu, HI); Queens University Medical Group (NPI 1891441382, Honolulu, HI); Queens North Hawaii Community Hospital (NPI 1124009584, Kamuela, HI); Sutter Bay Medical Foundation (NPI 1013950807, Palo Alto, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1144367921) · Data from the CMS NPPES public registry.