ADELINE KIM MD
NPI 1174907927
Anesthesiology - Pediatric Anesthesiology in Loma Linda, CA

Q: What is Adeline Kim's NPI number?

The NPI number for Adeline Kim is 1174907927. It was assigned to this individual provider in the NPPES registry on July 10, 2015.

Q: What is Adeline Kim's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Q: When was this NPI record last updated?

The NPPES record for Adeline Kim was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 10, 2015PECOS Enrolled

85.18/100

CMS Quality Rating

11234 ANDERSON ST # MC-2534, LOMA LINDA, CA 92354(909) 558-8054(909) 558-0187 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Adeline Kim Md NPPES

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

ADELINE KIM MD (NPI 1174907927) is an individual pediatric anesthesiology provider in Loma Linda, California, licensed in California (A168156) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Torrance.

NPPES Registry Identity

NPI1174907927

Entity TypeIndividualFemale

Primary Taxonomy207LP3000X

Provider Legal NameADELINE KIMCredential: MD

Location Address11234 ANDERSON ST # MC-2534Loma Linda, CA 92354-2804

Mailing Address11234 Anderson St # Mc-2534Loma Linda, CA 92354-2804 · (909) 558-8054 · Fax (909) 558-0187

Phone(909) 558-8054

Fax(909) 558-0187

Sole ProprietorNo

Enumeration DateJuly 10, 2015

Last NPPES UpdateAugust 24, 2020

NPPES CertifiedAugust 24, 2020

✔ NPI 1174907927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207LP3000X

License✔ Licensed in CA · A168156

Definition

An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

11234 ANDERSON ST # MC-2534, Loma Linda, CA 92354

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Secondary Practice Location 1

Location 11000 W Carson StTorrance, CA 90502-2004 · Phone (310) 222-2409

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adeline Kim Md 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 92354 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

85.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.81

Promoting Interoperability

Improvement Activities

Cost

64.54

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 Adeline Kim's NPI number?

The NPI number for Adeline Kim is 1174907927. It was assigned to this individual provider in the NPPES registry on July 10, 2015.

Where is Adeline Kim located?

Adeline Kim practices at 11234 Anderson St # Mc-2534, Loma Linda, CA 92354. The listed phone number is (909) 558-8054.

What is Adeline Kim's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Adeline Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Adeline Kim was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.