HAENA KIM MD
NPI 1275799124
Otolaryngology - Facial Plastic Surgery in San Jose, CA
NPI Status: Active since July 31, 2008
Contact Information
455 OCONNOR DR STE 280
SAN JOSE, CA
ZIP 95128
Phone: (650) 507-3601
Fax: (650) 396-7922
NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: July 12, 2026.
Record update history: Aug 13, 2025, Aug 9, 2023 (2 updates tracked since 2023).
- Individual
- Female
- Otolaryngology
- Facial Plastic Surgery
- Accepts Insurance
- PECOS Enrolled
About HAENA KIM
This page provides the complete NPI Profile along with additional information for Haena Kim, a provider established in San Jose, California with a medical specialization in Otolaryngology, focusing in facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1275799124 assigned on July 2008. The practitioner's primary taxonomy code is 207YS0123X with license number A126331 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1275799124
- Provider Name
- HAENA KIM MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 455 OCONNOR DR STE 280 SAN JOSE, CA 95128
- Location Phone
- (650) 507-3601
- Location Fax
- (650) 396-7922
- Mailing Address
- 455 OCONNOR DR STE 280 SAN JOSE, CA 95128
- Mailing Phone
- (650) 507-3601
- Mailing Fax
- (650) 396-7922
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-31-2008
- Last Update Date
- 08-25-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology Facial Plastic Surgery
- Taxonomy Code
- 207YS0123X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A126331
- License State
- CA
- Taxonomy Description
- An otolaryngologist who specializes in facial plastic surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207YX0905X | Allopathic & Osteopathic Physicians | Otolaryngology | MD207073 (OR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 8000 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Haena Kim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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.
This service was performed 17 times for 14 patientsThis 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.
This service was performed 12 times for 12 patientsReviews for HAENA KIM MD
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1275799124, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275799124, enumerated as an "individual" on July 31, 2008.
The provider is located at 455 OCONNOR DR STE 280 SAN JOSE, CA 95128 and the phone number is (650) 507-3601.
Otolaryngology with taxonomy code 207YS0123X and a focus in Facial Plastic Surgery.
The provider might be accepting Accepts: Moda Health Plan, Inc. and Providence Health Plan. Please consult your insurance carrier or call the provider to verify.
