1. Home
  2. Directory
  3. California
  4. San Francisco
  5. Pediatrics
  6. NPI Profile

MINSO KIM M.D.
NPI 1295096105
Pediatrics - Pediatric Critical Care Medicine in San Francisco, CA

Active since June 06, 2012PECOS Enrolled
550 16TH ST FL HALL5, SAN FRANCISCO, CA 94143(415) 476-5153 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2022, Dec 9, 2020 (2 updates tracked since 2020).

About Minso Kim M.d. NPPES

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

MINSO KIM M.D. (NPI 1295096105) is an individual pediatric critical care medicine provider in San Francisco, California, licensed in California (A175345) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295096105
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameMINSO KIMCredential: M.D.
Location Address550 16TH ST FL HALL5San Francisco, CA 94143-2549
Mailing Address550 16th St Fl Hall5San Francisco, CA 94143-2549 · (415) 476-5153
Phone(415) 476-5153
Sole ProprietorNo
Enumeration DateJune 6, 2012
Last NPPES UpdateApril 7, 20222 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1295096105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in CA · A175345
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 279690 (NY), A175345 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
550 16TH ST FL HALL5, San Francisco, CA 94143
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)

Minso Kim M.d. 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 Reassignments

3

Medicare enrollment records show Minso Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ucsf Pediatrics Associates
3.7 mi
Pediatrics
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 1,159 clinicians in this Medicare group
NPI 1376614016 (415) 353-2000
University Of California San Francisco
3.8 mi
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1346329380 (415) 353-2161
Ucsf Medical Group Business Services
3.8 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

DR. CLAIRE M BRETT MD
Anesthesiology
550 16TH ST FL HALL5, DEPT ANESTHESIA, BOX 3216
SAN FRANCISCO, CA 94143
San Francisco County (415) 637-4408

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 Minso Kim's NPI number?

The NPI number for Minso Kim is 1295096105. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Minso Kim located?

Minso Kim practices at 550 16th St Fl Hall5, San Francisco, CA 94143. The listed phone number is (415) 476-5153.

What is Minso Kim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Minso Kim enrolled in Medicare?

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

Which organizations bill Medicare for Minso Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Minso Kim reassigns Medicare benefits to 3 organizations: Ucsf Pediatrics Associates (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). Each 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 Minso 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 Minso Kim was last updated on April 7, 2022. 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.