HAENA KIM MD
NPI 1275799124
Otolaryngology - Facial Plastic Surgery in San Jose, CA

Q: What is Haena Kim's NPI number?

The NPI number for Haena Kim is 1275799124. It was assigned to this individual provider in the NPPES registry on July 31, 2008.

Q: What is Haena Kim's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Q: When was this NPI record last updated?

The NPPES record for Haena Kim was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 31, 2008PECOS EnrolledAccepts Medicare Assignment

455 OCONNOR DR STE 280, SAN JOSE, CA 95128(650) 507-3601(650) 396-7922 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2025, Aug 9, 2023 (2 updates tracked since 2023).

On this page

About Haena Kim Md NPPES

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

HAENA KIM MD (NPI 1275799124) is an individual facial plastic surgery provider in San Jose, California, licensed in California (A126331) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1275799124

Entity TypeIndividualFemale

Primary Taxonomy207YS0123X

Provider Legal NameHAENA KIMCredential: MD

Location Address455 OCONNOR DR STE 280San Jose, CA 95128-1644

Mailing Address455 Oconnor Dr Ste 280San Jose, CA 95128-1644 · (650) 507-3601 · Fax (650) 396-7922

Phone(650) 507-3601

Fax(650) 396-7922

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJuly 31, 2008

Last NPPES UpdateAugust 25, 20252 updates tracked since enumeration

NPPES CertifiedAugust 22, 2025

✔ NPI 1275799124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YS0123X

License✔ Licensed in CA · A126331

Definition

An otolaryngologist who specializes in facial plastic surgery.

Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License MD207073 (OR)

455 OCONNOR DR STE 280, San Jose, CA 95128

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

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

Haena Kim Md 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 ID7113182460

PECOS Enrollment IDI20130807000150

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 2

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.

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.

17 services14 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.

12 services12 patients

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 Haena Kim's NPI number?

The NPI number for Haena Kim is 1275799124. It was assigned to this individual provider in the NPPES registry on July 31, 2008.

Where is Haena Kim located?

Haena Kim practices at 455 Oconnor Dr Ste 280, San Jose, CA 95128. The listed phone number is (650) 507-3601.

What is Haena Kim's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Haena Kim enrolled in Medicare?

Yes. Haena 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.

What insurance does Haena Kim accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Haena 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 Haena Kim was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.