DAEWOONG KIM
NPI 1336729912
Emergency Medicine in Atlanta, GA

Q: What is Daewoong Kim's NPI number?

The NPI number for Daewoong Kim is 1336729912. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Q: What is Daewoong Kim's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Daewoong Kim was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since April 08, 2021PECOS EnrolledAccepts Medicare Assignment

1364 CLIFTON RD NE, ATLANTA, GA 30322(404) 616-1000 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Daewoong Kim NPPES

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

DAEWOONG KIM (NPI 1336729912) is an individual emergency medicine provider in Atlanta, Georgia, licensed in California (A194087) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Aurora (2021).

NPPES Registry Identity

NPI1336729912

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDAEWOONG KIM

Location Address1364 CLIFTON RD NEAtlanta, GA 30322-1059

Mailing Address2379 Larkspur Run DrDuluth, GA 30097-5304 · (719) 331-1113

Phone(404) 616-1000

Sole ProprietorYes

Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2021

Enumeration DateApril 8, 2021

Last NPPES UpdateApril 16, 2025

NPPES CertifiedApril 16, 2025

✔ NPI 1336729912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CA · A194087

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1364 CLIFTON RD NE, Atlanta, GA 30322

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daewoong Kim 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 ID941601033

PECOS Enrollment IDI20240923003607

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

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

County Of Santa Clara

2,100 mi

Federally Qualified Health Center (FQHC)

7475 CAMINO ARROYO
Gilroy, CA 95020

Reassigned Medicare billing, California enrollment
2,460 clinicians in this Medicare group

NPI 1922093533 (408) 885-5000

Emergency Physicians Associates San Jose PC

2,119 mi

Emergency Medicine

2105 FOREST AVE
San Jose, CA 95128

Reassigned Medicare billing, California enrollment
197 clinicians in this Medicare group

NPI 1306311576 (408) 947-2500

Emergency Physicians Associates Fremont PC

2,120 mi

Emergency Medicine

2000 MOWRY AVE
Fremont, CA 94538

Reassigned Medicare billing, California enrollment
103 clinicians in this Medicare group

NPI 1790250967 (510) 797-1111

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

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

72 services72 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

68 services68 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

42 services42 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

19 services19 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

17 services17 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

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.

GREGORY WESTON

Student in an Organized Health Care Education/Training Program