ZACHARY RIVER KIM DO
NPI 1245976109
Pediatrics in Honolulu, HI
About Zachary River Kim Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZACHARY RIVER KIM DO (NPI 1245976109) is an individual pediatrics provider in Honolulu, Hawaii, licensed in Hawaii (DOSR-558-0) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Zachary River Kim Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Zachary Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Honolulu, HI 96826
- Reassigned Medicare billing, Hawaii enrollment
- 370 clinicians in this Medicare group
Honolulu, HI 96819
- Reassigned Medicare billing, Hawaii enrollment
- 38 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96826 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Zachary Kim's NPI number?
The NPI number for Zachary Kim is 1245976109. It was assigned to this individual provider in the NPPES registry on May 12, 2022.
Where is Zachary Kim located?
Zachary Kim practices at 1319 Punahou St # 741, Honolulu, HI 96826. The listed phone number is (808) 369-1212.
What is Zachary Kim's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Zachary Kim enrolled in Medicare?
Yes. Zachary Kim is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Zachary Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Kim reassigns Medicare benefits to 2 organizations: Kapiolani Medical Specialists (Honolulu, HI) and Kokua Kalihi Valley Comprehensive Family Services (Honolulu, HI). 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 Zachary Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Zachary Kim accept?
Health plans from HMSA list Zachary Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Zachary Kim was last updated on May 12, 2022. 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.
# Zachary River Kim, DO · NPI 1245976109
Pediatrics physician in Honolulu, Hawaii. Individual provider, active in the CMS NPPES registry since May 12, 2022.
## Identity
- **NPI:** 1245976109 (Entity type: Individual)
- **Enumerated:** May 12, 2022
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** DOSR-558-0 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 1319 PUNAHOU ST # 741, Honolulu, HI 96826-1001
- **Phone:** (808) 369-1212
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kapiolani Medical Specialists (NPI 1124071014, Honolulu, HI); Kokua Kalihi Valley Comprehensive Family Services (NPI 1689896953, Honolulu, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1245976109) · Data from the CMS NPPES public registry.