GRACE J KIM DO
NPI 1235703737
Family Medicine in Pueblo, CO
About Grace J Kim Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE J KIM DO (NPI 1235703737) is an individual family medicine provider in Pueblo, Colorado, licensed in Colorado (DR.0069963) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Golden, and is a graduate of Rocky Vista University College Of Osteopathic Med (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Grace J Kim Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Grace Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pueblo, CO 81004
- Reassigned Medicare billing, Colorado enrollment
- 1,193 clinicians in this Medicare group
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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PUEBLO, CO 81004
PUEBLO, CO 81004
PUEBLO, CO 81004
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 1235703737. It was assigned to this individual provider in the NPPES registry on May 18, 2021.
Where is Grace Kim located?
Grace Kim practices at 902 Lakeview Ave, Pueblo, CO 81004. The listed phone number is (719) 557-5855.
What is Grace Kim's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Grace Kim enrolled in Medicare?
Yes. Grace 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 organization bills Medicare for Grace Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Kim reassigns Medicare benefits to Catholic Health Initiatives Colorado (Pueblo, CO). The 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 July 12, 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.
# Grace J Kim, DO · NPI 1235703737
Family Medicine physician in Pueblo, Colorado. Individual provider, active in the CMS NPPES registry since May 18, 2021.
## Identity
- **NPI:** 1235703737 (Entity type: Individual)
- **Enumerated:** May 18, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** DR.0069963 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 902 LAKEVIEW AVE, Pueblo, CO 81004-3597
- **Phone:** (719) 557-5855
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Catholic Health Initiatives Colorado (NPI 1972114676, Pueblo, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rocky Vista University College Of Osteopathic Med, class of 2021
## Record status
- **NPPES last updated:** July 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1235703737) · Data from the CMS NPPES public registry.