SAMUEL KIM
NPI 1205319522
Physician Assistant in San Francisco, CA

Q: What is Samuel Kim's NPI number?

The NPI number for Samuel Kim is 1205319522. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Q: What is Samuel Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Kim was last updated on July 25, 2024. 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.

Active since September 12, 2018PECOS Enrolled

2 EMBARCADERO CTR LBBY LEVEL, SAN FRANCISCO, CA 94111(888) 663-6331 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 25, 2024, Nov 30, 2022, Apr 13, 2020 and 2 more (5 updates tracked since 2018).

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About Samuel Kim NPPES

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

SAMUEL KIM (NPI 1205319522) is an individual physician assistant in San Francisco, California, licensed in California (57965) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205319522

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSAMUEL KIM

Location Address2 EMBARCADERO CTR LBBY LEVELSan Francisco, CA 94111-3823

Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791

Phone(888) 663-6331

Sole ProprietorNo

Enumeration DateSeptember 12, 2018

Last NPPES UpdateJuly 25, 20245 updates tracked since enumeration

NPPES CertifiedJuly 25, 2024

✔ NPI 1205319522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · 57965

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2 EMBARCADERO CTR LBBY LEVEL, San Francisco, CA 94111

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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)

Samuel 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 94111 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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.

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.

MS. MOENSANIA CARISA PHILLIPS NURSE PRACTITIONER

Nurse Practitioner (Family)