TAE HYUN KIM DPM INC
NPI 1295967719
Podiatrist - Foot & Ankle Surgery in Van Nuys, CA
About Tae Hyun Kim Dpm Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAE HYUN KIM DPM INC (NPI 1295967719) is a healthcare organization registered as a foot & ankle surgery in Van Nuys, California and active in the NPI registry since August 2009. The organization lists Tae H Kim, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tae Hyun Kim Dpm Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Tae Hyun Kim DPM Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Tae Hyun Kim Dpm Inc's NPI number?
The NPI number for Tae Hyun Kim Dpm Inc is 1295967719. It was assigned to this organization in the NPPES registry on August 17, 2009.
Where is Tae Hyun Kim Dpm Inc located?
Tae Hyun Kim Dpm Inc is located at 13701 Burbank Blvd, Van Nuys, CA 91401. The listed phone number is (818) 997-1216.
What is Tae Hyun Kim Dpm Inc's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Tae Hyun Kim Dpm Inc enrolled in Medicare?
Yes. Tae Hyun Kim Dpm Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tae Hyun Kim Dpm Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Tae Hyun Kim Dpm Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tae Hyun Kim Dpm Inc was last updated on November 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Tae Hyun Kim Dpm Inc · NPI 1295967719
Foot & Ankle Surgery organization in Van Nuys, California. Organization record, active in the CMS NPPES registry since August 17, 2009.
## Identity
- **NPI:** 1295967719 (Entity type: Organization)
- **Enumerated:** August 17, 2009
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Tae Kim, PRESIDENT
## Practice location
- **Address:** 13701 BURBANK BLVD, Van Nuys, CA 91401-5040
- **Phone:** (818) 997-1216 · **Fax:** (818) 997-4458
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 2, 2009
- **Other identifiers:** Medicare PIN CH231A; Other E4262 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1295967719) · Data from the CMS NPPES public registry.