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SOONMI KIM
NPI 1144998790
Nurse Practitioner - Family in Fresno, CA

Active since August 30, 2021PECOS Enrolled
1348 W HERNDON AVE STE 101, FRESNO, CA 93711(559) 573-7260 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2023, Nov 3, 2022 (2 updates tracked since 2022).

About Soonmi Kim NPPES

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

SOONMI KIM (NPI 1144998790) is an individual family provider in Fresno, California, licensed in California (NP95018189) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144998790
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSOONMI KIM
Location Address1348 W HERNDON AVE STE 101Fresno, CA 93711-7181
Mailing Address1348 W Herndon Ave Ste 101Fresno, CA 93711-7181 · (559) 573-7260
Phone(559) 573-7260
Sole ProprietorNo
Enumeration DateAugust 30, 2021
Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1144998790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95018189
1348 W HERNDON AVE STE 101, Fresno, CA 93711
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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 (PECOS)

Soonmi Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93711 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Other Providers at the Same Location NPPES 2

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

ARYA MEDICAL GROUP
Clinic/Center (Primary Care)
1348 W HERNDON AVE STE 101
FRESNO, CA 93711
Fresno County (559) 573-7260
HARSIMRANJIT KAUR SANDHU NP
Family Medicine
1348 W HERNDON AVE STE 101
FRESNO, CA 93711
Fresno County (559) 573-7260

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 Soonmi Kim's NPI number?

The NPI number for Soonmi Kim is 1144998790. It was assigned to this individual provider in the NPPES registry on August 30, 2021.

Where is Soonmi Kim located?

Soonmi Kim practices at 1348 W Herndon Ave Ste 101, Fresno, CA 93711. The listed phone number is (559) 573-7260.

What is Soonmi Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Soonmi Kim enrolled in Medicare?

Yes. Soonmi Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Soonmi Kim was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.