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GRACE EUN KIM DO
NPI 1205397346
General Practice in Northglenn, CO

Active since March 30, 2019PECOS Enrolled
10465 MELODY DR STE 322, NORTHGLENN, CO 80234(720) 934-1842 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 30, 2021, Nov 19, 2021, Nov 4, 2021 (3 updates tracked since 2021).

About Grace Eun Kim Do NPPES

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

GRACE EUN KIM DO (NPI 1205397346) is an individual general practice provider in Northglenn, Colorado, licensed in Colorado (0065467) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205397346
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameGRACE EUN KIMCredential: DO
Location Address10465 MELODY DR STE 322Northglenn, CO 80234-4126
Mailing Address15684 E 47th DrDenver, CO 80239-5522 · (720) 934-1842
Phone(720) 934-1842
Sole ProprietorNo
Enumeration DateMarch 30, 2019
Last NPPES UpdateNovember 30, 20213 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
✔ NPI 1205397346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CO · 0065467
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License DR.0065467 (CO)
10465 MELODY DR STE 322, Northglenn, CO 80234
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Eun Kim Do 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Grace Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signify Health Medical Associates, PLLC
660 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Colorado enrollment
  • 290 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800
Signify Health Medical Associates Of California, PC
949 mi
General Practice
505 MONTGOMERY ST, FL 10 & 11
San Francisco, CA 94111
  • Reassigned Medicare billing, California enrollment
  • 407 clinicians in this Medicare group
NPI 1124685169 (972) 715-3800

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

Other Providers at the Same Location NPPES 7

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

SAVANNAH SANTANA
Counselor (Professional)
10465 MELODY DR STE 322
NORTHGLENN, CO 80234
Adams County (720) 722-1183
MELODY REICHARD
Social Worker (Clinical)
10465 MELODY DR STE 322
NORTHGLENN, CO 80234
Adams County (720) 440-2931
AUBREY BERTRON LCSW
Social Worker (Clinical)
10465 MELODY DR STE 322
NORTHGLENN, CO 80234
Adams County (720) 975-8031
BLUE CHANNEL THERAPY
Social Worker (Clinical)
10465 MELODY DR STE 322
NORTHGLENN, CO 80234
Adams County (720) 295-7548
ROBIN SCHWARTZ
Student in an Organized Health Care Education/Training Program
10465 MELODY DR STE 322
NORTHGLENN, CO 80234
Adams County (970) 325-3828
KELLY OCOCK
Counselor (Mental Health)
10465 MELODY DR STE 322
NORTHGLENN, CO 80234
Adams County (847) 525-6404
ALYSSA HOPE SCHOTT LPCC
Counselor (Mental Health)
10465 MELODY DR STE 322
NORTHGLENN, CO 80234
Adams County (720) 975-8031

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 Grace Kim's NPI number?

The NPI number for Grace Kim is 1205397346. It was assigned to this individual provider in the NPPES registry on March 30, 2019.

Where is Grace Kim located?

Grace Kim practices at 10465 Melody Dr Ste 322, Northglenn, CO 80234. The listed phone number is (720) 934-1842.

What is Grace Kim's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Grace Kim enrolled in Medicare?

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

Which organizations bill Medicare for Grace Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Kim reassigns Medicare benefits to 2 organizations: Signify Health Medical Associates, PLLC (Dallas, TX) and Signify Health Medical Associates Of California, PC (San Francisco, 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 Grace Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Grace Kim was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.