Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JENNIFER KIM MD
NPI 1336883891
Pediatrics in San Antonio, TX

Q: What is Jennifer Kim's NPI number?

The NPI number for Jennifer Kim is 1336883891. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Q: What is Jennifer Kim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Kim was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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 21, 2022PECOS Enrolled

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4000(210) 358-4775 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2026, Apr 21, 2022 (2 updates tracked since 2022).

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About Dr. Jennifer Kim Md NPPES

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

DR. JENNIFER KIM MD (NPI 1336883891) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (V7750) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1336883891

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. JENNIFER KIMCredential: MD

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4492

Mailing Address811 E Elmira St Unit 3San Antonio, TX 78212-2907 · (214) 244-7932

Phone(210) 358-4000

Fax(210) 358-4775

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 21, 2022

Last NPPES UpdateJune 23, 20262 updates tracked since enumeration

NPPES CertifiedJune 23, 2026

✔ NPI 1336883891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · V7750

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4502 MEDICAL DR, San Antonio, TX 78229

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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 (PECOS)

Dr. Jennifer Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113401654

PECOS Enrollment IDI20260323001598

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 78229 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)