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ILDONG KIM M.D.
NPI 1346262896
Internal Medicine in San Diego, CA

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
3762 CLAIREMONT DR, SAN DIEGO, CA 92117(858) 560-8910(858) 560-8011 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2024, May 27, 2023 (2 updates tracked since 2023).

About Ildong Kim M.d. NPPES

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

ILDONG KIM M.D. (NPI 1346262896) is an individual internal medicine provider in San Diego, California, licensed in California (A068315) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1346262896
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameILDONG KIMCredential: M.D.
Location Address3762 CLAIREMONT DRSan Diego, CA 92117-5916
Mailing Address3762 Clairemont DrSan Diego, CA 92117-5916 · (858) 560-8910 · Fax (858) 560-8011
Phone(858) 560-8910
Fax(858) 560-8011
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 24, 2006
Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
✔ NPI 1346262896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A068315
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License A068315 (CA)
3762 CLAIREMONT DR, San Diego, CA 92117
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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

Ildong Kim M.d. 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 ID7911149893
PECOS Enrollment IDI20130805000889
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
136 services45 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
24 services12 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
24 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92117 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 3

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

A. JAYSON TENGONCIANG, DMD, INC
Dentist (Endodontics)
3762 CLAIREMONT DR
SAN DIEGO, CA 92117
San Diego County (302) 230-6375
NIHON CLINIC SD, A PROFESSIONAL CORPORATION
Clinic/Center (Primary Care)
3762 CLAIREMONT DR
SAN DIEGO, CA 92117
San Diego County (858) 560-8910
DR. EDWARD WILLIAM JERGE DDS
Dentist (Endodontics)
3762 CLAIREMONT DR
SAN DIEGO, CA 92117
San Diego County (858) 270-2760

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 Ildong Kim's NPI number?

The NPI number for Ildong Kim is 1346262896. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Ildong Kim located?

Ildong Kim practices at 3762 Clairemont Dr, San Diego, CA 92117. The listed phone number is (858) 560-8910.

What is Ildong Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ildong Kim enrolled in Medicare?

Yes. Ildong 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 Ildong Kim was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.