KENNETH W KIM MD
NPI 1154325777
Physical Medicine & Rehabilitation - Pain Medicine in Walnut Creek, CA

Q: What is Kenneth Kim's NPI number?

The NPI number for Kenneth Kim is 1154325777. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Q: What is Kenneth Kim's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Kim was last updated on October 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 June 10, 2005PECOS EnrolledAccepts Medicare Assignment

450 N WIGET LN, WALNUT CREEK, CA 94598(925) 691-9806(925) 691-9807 Get Directions Write a Review

NPPES record last updated: October 22, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kenneth W Kim Md NPPES

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

KENNETH W KIM MD (NPI 1154325777) is an individual pain medicine provider in Walnut Creek, California, licensed in California (A81692) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Hahnemann University College Of Medicine (1999).

NPPES Registry Identity

NPI1154325777

Entity TypeIndividualMale

Primary Taxonomy2081P2900X

Provider Legal NameKENNETH W KIMCredential: MD

Location Address450 N WIGET LNWalnut Creek, CA 94598-2408

Mailing Address450 N Wiget LnWalnut Creek, CA 94598-2408 · (925) 691-9806 · Fax (925) 691-9807

Phone(925) 691-9806

Fax(925) 691-9807

Sole ProprietorNo

Medical School CMSHahnemann University College Of MedicineGraduated 1999

Enumeration DateJune 10, 2005

Last NPPES UpdateOctober 22, 2009

✔ NPI 1154325777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in CA · A81692

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

450 N WIGET LN, Walnut Creek, CA 94598

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Other Identifiers 1

Medicare UPINI24900

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

Kenneth W 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 ID648222141

PECOS Enrollment IDI20050212000045

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 Reassignment

Medicare enrollment records show Kenneth Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrated Pain Management Medical Group, Inc.

0.1 mi

Pain Medicine

450 N WIGET LN
Walnut Creek, CA 94598

Reassigned Medicare billing, California enrollment
137 clinicians in this Medicare group

NPI 1922198779 (925) 691-9806

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

Areas of Expertise CMS Part B claims 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

721 services137 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

381 services107 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483

A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.

327 services130 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

150 services70 patients

Acupuncture, each additional 15 minutes 97811

Acupuncture is a traditional Chinese therapy that involves inserting thin needles at specific points on the body to balance energy flow. This service refers to each additional 15-minute session beyond your initial treatment. It may enhance the therapeutic effects and provide deeper relief from symptoms.

74 services15 patients

Acupuncture, initial 15 minutes 97810

Acupuncture is a traditional therapy where thin needles are inserted into specific points on your body. This initial 15-minute session aims to balance energy flow, relieve pain, and improve overall health. It's generally painless and considered safe.

72 services15 patients

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.

HOWARD P ROME JR. PHD

Psychologist (Rehabilitation)