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ALISA JION KIM MD
NPI 1306423256
Obstetrics & Gynecology in San Jose, CA

Active since March 26, 2021PECOS EnrolledAccepts Medicare Assignment
276 INTERNATIONAL CIR, SAN JOSE, CA 95119(408) 972-6202 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alisa Jion Kim Md NPPES

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

ALISA JION KIM MD (NPI 1306423256) is an individual obstetrics & gynecology provider in San Jose, California, licensed in California (A200417) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2021).

NPPES Registry Identity

NPI1306423256
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameALISA JION KIMCredential: MD
Location Address276 INTERNATIONAL CIRSan Jose, CA 95119-1130
Mailing Address276 International CirSan Jose, CA 95119-1130 · (206) 788-7727
Phone(408) 972-6202
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2021
Enumeration DateMarch 26, 2021
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1306423256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A200417
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
276 INTERNATIONAL CIR, San Jose, CA 95119
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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

Alisa Jion 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 ID8628487097
PECOS Enrollment IDI20250821003771
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95119 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

Other Providers at the Same Location NPPES 20

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

MARTHA MAUPIN MEDLICOTT OB/GYN N.P.
Nurse Practitioner (Obstetrics & Gynecology)
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Santa Clara County (408) 972-6270
MELANIE LYNN JORDAN CNM
Advanced Practice Midwife
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Santa Clara County (408) 362-4791
SHEQUELLA GARVEY MD
Family Medicine
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Santa Clara County (408) 972-7000
MONICA AGARWAL MD
Family Medicine
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Santa Clara County (408) 972-7000
SHREYA ATITKAR DO
Student in an Organized Health Care Education/Training Program
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Santa Clara County (408) 972-6884
TAM THAI
Pharmacist
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Santa Clara County (408) 363-4971
GRACE HUI CHINN MSN, WHNP-C, CNS
Nurse Practitioner (Women's Health)
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Santa Clara County (408) 972-7000
ANDREW NGUYEN DO
Family Medicine
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Santa Clara County (408) 972-6910

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 Alisa Kim's NPI number?

The NPI number for Alisa Kim is 1306423256. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Alisa Kim located?

Alisa Kim practices at 276 International Cir, San Jose, CA 95119. The listed phone number is (408) 972-6202.

What is Alisa Kim's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Alisa Kim enrolled in Medicare?

Yes. Alisa 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.

When was this NPI record last updated?

The NPPES record for Alisa Kim was last updated on August 26, 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.