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MIN CHEOL KIM MD
NPI 1295833192
Ophthalmology in Peoria, AZ

Active since September 21, 2006PECOS Enrolled
14155 NORTH 83RD AVENUE, SUITE 1103, PEORIA, AZ 85381(480) 495-6492 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Min Cheol Kim Md NPPES

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

MIN CHEOL KIM MD (NPI 1295833192) is an individual ophthalmology provider in Peoria, Arizona, licensed in Arizona (36025) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295833192
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMIN CHEOL KIMCredential: MD
Location Address14155 NORTH 83RD AVENUE, SUITE 1103Peoria, AZ 85381
Mailing AddressPo Box 11977Glendale, AZ 85318-1977 · (480) 495-6492
Phone(480) 495-6492
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295833192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in AZ · 36025
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
14155 NORTH 83RD AVENUE, Peoria, AZ 85381
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Min Cheol 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 Reassignments

2

Medicare enrollment records show Min Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prairie Eye Center, Ltd
1,318 mi
Ophthalmology
2020 W ILES AVE
Springfield, IL 62704
  • Reassigned Medicare billing, Illinois enrollment
  • 21 clinicians in this Medicare group
NPI 1447222864 (217) 698-3030
Center For Podiatry Care
1,734 mi
Podiatrist
462 FURYS FERRY RD
Martinez, GA 30907
  • Reassigned Medicare billing, Georgia enrollment
  • 22 clinicians in this Medicare group
NPI 1174695357 (706) 868-0319

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 85381 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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 Min Kim's NPI number?

The NPI number for Min Kim is 1295833192. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Min Kim located?

Min Kim practices at 14155 North 83rd Avenue Suite 1103, Peoria, AZ 85381. The listed phone number is (480) 495-6492.

What is Min Kim's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Min Kim enrolled in Medicare?

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

Which organizations bill Medicare for Min Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Min Kim reassigns Medicare benefits to 2 organizations: Prairie Eye Center, Ltd (Springfield, IL) and Center For Podiatry Care (Martinez, GA). 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 Min Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Min Kim accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Min 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 Min Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.