1. Home
  2. Directory
  3. California
  4. Concord
  5. Psychiatry Neurology
  6. NPI Profile

ELLEN KIM MD
NPI 1275161879
Psychiatry & Neurology - Psychiatry in Concord, CA

Active since March 30, 2020PECOS Enrolled
2425 BISSO LN, CONCORD, CA 94520(206) 987-3268(206) 988-2246 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 9, 2026, Jul 4, 2023, Mar 30, 2020 (3 updates tracked since 2020).

About Ellen Kim Md NPPES

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

ELLEN KIM MD (NPI 1275161879) is an individual psychiatry provider in Concord, California, licensed in California (A202664) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275161879
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameELLEN KIMCredential: MD
Location Address2425 BISSO LNConcord, CA 94520-4897
Mailing Address2425 Bisso LnConcord, CA 94520-4897 · (206) 987-3268 · Fax (206) 988-2246
Phone(206) 987-3268
Fax(206) 988-2246
Sole ProprietorNo
Enumeration DateMarch 30, 2020
Last NPPES UpdateApril 9, 20263 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1275161879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A202664
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2425 BISSO LN, Concord, CA 94520
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen 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.

Medicare Billing Reassignment

Medicare enrollment records show Ellen Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Swedish Health Services
664 mi
Internal Medicine
800 5TH AVE, STE 600
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 1,270 clinicians in this Medicare group
NPI 1689612954 (206) 320-2700

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 94520 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MR. FRED EARL HARRIS CSW
Counselor (Mental Health)
2425 BISSO LN, SUITE 100
CONCORD, CA 94520
Contra Costa County (925) 521-5630
CASEY WETZEL
Registered Nurse
2425 BISSO LN, 100
CONCORD, CA 94520
Contra Costa County (925) 521-5620
DR. ROSS BENNETT ANDELMAN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2425 BISSO LN, SITE 280
CONCORD, CA 94520
Contra Costa County (925) 646-5915
CHIDI A OHANELE
Registered Nurse
2425 BISSO LN, SUITE 100
CONCORD, CA 94520
Contra Costa County (925) 521-5655
DR. ELLEN DAYTON SHIRGUL PSY.D.
Psychologist (Clinical)
2425 BISSO LN, SUITE 100
CONCORD, CA 94520
Contra Costa County (925) 521-5650
HSARPAW HERNANDEZ
Counselor (Mental Health)
2425 BISSO LN, SUITE 120
CONCORD, CA 94520
Contra Costa County (925) 646-1444
ERIC PHILLIPS
Marriage & Family Therapist
2425 BISSO LN
CONCORD, CA 94520
Contra Costa County (510) 374-2672
DEBRA WILKINS
Registered Nurse (Psychiatric/Mental Health, Adult)
2425 BISSO LN
CONCORD, CA 94520
Contra Costa County (925) 521-5700

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 Ellen Kim's NPI number?

The NPI number for Ellen Kim is 1275161879. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Ellen Kim located?

Ellen Kim practices at 2425 Bisso Ln, Concord, CA 94520. The listed phone number is (206) 987-3268.

What is Ellen Kim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ellen Kim enrolled in Medicare?

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

Which organization bills Medicare for Ellen Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Kim reassigns Medicare benefits to Swedish Health Services (Seattle, WA). 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 Ellen 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 Ellen Kim was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.