CHIWAN KIM MD
NPI 1255414629
Pediatrics - Neonatal-Perinatal Medicine in Sacramento, CA

Q: What is Chiwan Kim's NPI number?

The NPI number for Chiwan Kim is 1255414629. It was assigned to this individual provider in the NPPES registry on October 21, 2006.

Q: What is Chiwan Kim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Chiwan Kim was last updated on September 14, 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.

Active since October 21, 2006PECOS Enrolled

2825 CAPITOL AVE RM 1S118, SACRAMENTO, CA 95816(916) 887-0780(916) 887-0786 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 14, 2021, Jun 15, 2018 (2 updates tracked since 2018).

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About Chiwan Kim Md NPPES

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

CHIWAN KIM MD (NPI 1255414629) is an individual neonatal-perinatal medicine provider in Sacramento, California, licensed in California (G88369) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Roseville.

NPPES Registry Identity

NPI1255414629

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameCHIWAN KIMCredential: MD

Location Address2825 CAPITOL AVE RM 1S118Sacramento, CA 95816-6039

Mailing Address1420 E Roseville Pkwy Ste 140-302Roseville, CA 95661-3078 · (916) 668-0789 · Fax (205) 946-4922

Phone(916) 887-0780

Fax(916) 887-0786

Sole ProprietorNo

Enumeration DateOctober 21, 2006

Last NPPES UpdateSeptember 14, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2021

✔ NPI 1255414629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in CA · G88369

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 79532 (MA)

2825 CAPITOL AVE RM 1S118, Sacramento, CA 95816

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Secondary Practice Location 1

Location 11 Medical Plaza DrRoseville, CA 95661-3037 · Phone (916) 731-1537 · Fax (916) 731-1538

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chiwan Kim Md 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.

Other Providers at the Same Location NPPES

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

MR. LEHMAN ERNEST BLACK III MD

Pediatrics

2825 CAPITOL AVE RM 1S118
SACRAMENTO, CA 95816

Sacramento County (916) 887-0104

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 Chiwan Kim's NPI number?

The NPI number for Chiwan Kim is 1255414629. It was assigned to this individual provider in the NPPES registry on October 21, 2006.

Where is Chiwan Kim located?

Chiwan Kim practices at 2825 Capitol Ave Rm 1s118, Sacramento, CA 95816. The listed phone number is (916) 887-0780.

What is Chiwan Kim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Chiwan Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Chiwan Kim was last updated on September 14, 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.