KENNETH T KIM M.D.
NPI 1205833563
Allergy & Immunology in Long Beach, CA

Q: What is Kenneth Kim's NPI number?

The NPI number for Kenneth Kim is 1205833563. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Q: What is Kenneth Kim's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 01, 2005PECOS EnrolledAccepts Medicare Assignment

2600 REDONDO AVE, STE 400, LONG BEACH, CA 90806(562) 997-7888 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kenneth T Kim M.d. NPPES

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

KENNETH T KIM M.D. (NPI 1205833563) is an individual allergy & immunology provider in Long Beach, California, licensed in California (G061259) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1986).

NPPES Registry Identity

NPI1205833563

Entity TypeIndividualMale

Primary Taxonomy207K00000X

Provider Legal NameKENNETH T KIMCredential: M.D.

Location Address2600 REDONDO AVE, STE 400Long Beach, CA 90806-2330

Mailing Address2600 Redondo Ave, Ste 400Long Beach, CA 90806-2330 · (562) 997-7888

Phone(562) 997-7888

Sole ProprietorNo

Medical School CMSHarvard Medical SchoolGraduated 1986

Enumeration DateJuly 1, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1205833563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

License✔ Licensed in CA · G061259

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

2600 REDONDO AVE, Long Beach, CA 90806

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Other Identifiers 1

Medicare UPINE36029

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 T Kim M.d. 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 ID2668360348

PECOS Enrollment IDI20050104000403

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.

Allergy Asthma & Respiratory Care Center

Same address

Allergy & Immunology

2600 REDONDO AVE, SUITE 400
Long Beach, CA 90806

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

NPI 1497719447 (562) 997-7888

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 8

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.

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

2,016 services24 patients

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

1,172 services28 patients

Test for allergy using allergenic extract injected into skin 95024

An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.

641 services17 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

385 services20 patients

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.

141 services77 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

62 services26 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.

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