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DR. JEANNE KIM M.D.
NPI 1215244736
Student in an Organized Health Care Education/Training Program in Carmichael, CA

Active since September 03, 2010PECOS EnrolledAccepts Medicare Assignment
6501 COYLE AVE, CARMICHAEL, CA 95608(916) 537-5000(916) 851-2884 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Jeanne Kim M.d. NPPES

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

DR. JEANNE KIM M.D. (NPI 1215244736) is an individual student in an organized health care education/training program in Carmichael, California and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2009).

NPPES Registry Identity

NPI1215244736
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JEANNE KIMCredential: M.D.
Location Address6501 COYLE AVECarmichael, CA 95608-0306
Mailing AddressPo Box 7096Stockton, CA 95267-0096 · (209) 956-7725 · Fax (209) 956-7733
Phone(916) 537-5000
Fax(916) 851-2884
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2009
Enumeration DateSeptember 3, 2010
Last NPPES UpdateDecember 20, 2021
✔ NPI 1215244736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedAnesthesiologyTaxonomy 207L00000X · License A115336 (CA)
6501 COYLE AVE, Carmichael, CA 95608
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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 and accepts Medicare assignment

Dr. Jeanne 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 ID6800035676
PECOS Enrollment IDI20130627000238
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 Jeanne Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Metropolitan Anesthesiology Consultants A Medical Group Inc
Same address
Anesthesiology
6501 COYLE AVE
Carmichael, CA 95608
  • Reassigned Medicare billing, California enrollment
  • 48 clinicians in this Medicare group
NPI 1184671372 (916) 537-5000
Permanente Medical Group Inc
45 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 20

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

AMY MELISSA SHAPIRO RN, FNP
Nurse Practitioner (Family)
6501 COYLE AVE
CARMICHAEL, CA 95608
Sacramento County (916) 962-8700
LOVELEEN JHAJJ MD
Student in an Organized Health Care Education/Training Program
6501 COYLE AVE
CARMICHAEL, CA 95608
Sacramento County (916) 908-6212
ROZIQA KHALID MD
Student in an Organized Health Care Education/Training Program
6501 COYLE AVE
CARMICHAEL, CA 95608
Sacramento County (916) 908-6212
STEFANIE NICOLE TROJA PA-C
Physician Assistant
6501 COYLE AVE
CARMICHAEL, CA 95608
Sacramento County (855) 824-0270
MERCY SAN JUAN MEDICAL CENTER
Emergency Medicine
6501 COYLE AVE
CARMICHAEL, CA 95608
Sacramento County (916) 537-5000
NATHAN M KOSTIV NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
6501 COYLE AVE
CARMICHAEL, CA 95608
Sacramento County (916) 537-5135
PATRICIA EFUA ABRAHAM-ARMAH MD
Student in an Organized Health Care Education/Training Program
6501 COYLE AVE
CARMICHAEL, CA 95608
Sacramento County (916) 908-6233
MR. MELVIN S NUNN MD
Anesthesiology
6501 COYLE AVE
CARMICHAEL, CA 95608
Sacramento County (916) 537-5000

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 Jeanne Kim's NPI number?

The NPI number for Jeanne Kim is 1215244736. It was assigned to this individual provider in the NPPES registry on September 3, 2010.

Where is Jeanne Kim located?

Jeanne Kim practices at 6501 Coyle Ave, Carmichael, CA 95608. The listed phone number is (916) 537-5000.

What is Jeanne Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jeanne Kim enrolled in Medicare?

Yes. Jeanne Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jeanne Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanne Kim reassigns Medicare benefits to 2 organizations: Metropolitan Anesthesiology Consultants A Medical Group Inc (Carmichael, CA) and Permanente Medical Group Inc (Stockton, 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 Jeanne 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 Jeanne Kim was last updated on December 20, 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.