YOHANAN KIM
NPI 1265965339
Otolaryngology - Plastic Surgery within the Head & Neck in Riverside, CA

Active since April 06, 2017PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
6405 DAY ST, RIVERSIDE, CA 92507(951) 697-5570(951) 697-5596 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, Aug 16, 2022 (2 updates tracked since 2022).

About Yohanan Kim NPPES

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

YOHANAN KIM (NPI 1265965339) is an individual plastic surgery within the head & neck provider in Riverside, California, licensed in California (A157124) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Loma Linda, and is a graduate of Loma Linda University School Of Medicine (2017).

NPPES Registry Identity

NPI1265965339
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameYOHANAN KIM
Location Address6405 DAY STRiverside, CA 92507-0901
Mailing Address6405 Day StRiverside, CA 92507-0901 · (951) 697-5570 · Fax (951) 697-5596
Fax(951) 697-5596
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2017
Enumeration DateApril 6, 2017
Last NPPES UpdateApril 14, 20252 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
NPI 1265965339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License Licensed in CA · A157124
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License A157124 (CA)
6405 DAY ST, Riverside, CA 92507

Secondary Practice Location 1

Location 111234 Anderson St, Loma Linda University Health, OtolaryngologyLoma Linda, CA 92350-1716 · Phone (909) 558-8558

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Yohanan Kim 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 ID5799163614
PECOS Enrollment IDI20220606002200
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.

Areas of Expertise CMS Part B claims 9

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.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
80 services60 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
73 services55 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
71 services71 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services46 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.
62 services48 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
48 services48 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

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.

Internal Medicine
6405 DAY ST
RIVERSIDE, CA 92507
Obstetrics & Gynecology
6405 DAY ST
RIVERSIDE, CA 92507
Family Medicine
6405 DAY ST
RIVERSIDE, CA 92507
Internal Medicine
6405 DAY ST
RIVERSIDE, CA 92507
Pediatrics
6405 DAY ST
RIVERSIDE, CA 92507
Dermatology
6405 DAY ST
RIVERSIDE, CA 92507
Pediatrics
6405 DAY ST
RIVERSIDE, CA 92507
Family Medicine
6405 DAY ST
RIVERSIDE, CA 92507

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 Yohanan Kim's NPI number?

The NPI number for Yohanan Kim is 1265965339. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Yohanan Kim located?

Yohanan Kim practices at 6405 Day St, Riverside, CA 92507. The listed phone number is (951) 697-5570.

What is Yohanan Kim's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Yohanan Kim enrolled in Medicare?

Yes. Yohanan 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.

When was this NPI record last updated?

The NPPES record for Yohanan Kim was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.