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KI WAN KIM MD
NPI 1356490734
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Marietta, GA

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
61 WHITCHER ST NE STE 4120, MARIETTA, GA 30060(770) 424-9732 Get Directions Write a Review

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ki Wan Kim Md NPPES

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

KI WAN KIM MD (NPI 1356490734) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Marietta, Georgia, licensed in Georgia (82757) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356490734
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameKI WAN KIMCredential: MD
Location Address61 WHITCHER ST NE STE 4120Marietta, GA 30060
Mailing Address61 Whitcher St Ne Ste 4120Marietta, GA 30060-1179 · (770) 424-9732
Phone(770) 424-9732
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 9, 2007
Last NPPES UpdateOctober 16, 2019
✔ NPI 1356490734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in GA · 82757✔ Licensed in IL · 036127784
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License A90695 (CA)
61 WHITCHER ST NE STE 4120, Marietta, GA 30060
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1315 Boulevard NE Ste 500Atlanta, GA 30312 · Phone (770) 424-9732
Location 22650 Ridge Ave, Walgreen Building Suite 3507Evanston, IL 60201-1718 · Phone (847) 570-2868

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

Ki Wan 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 ID5193993145
PECOS Enrollment IDI20190624003454
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 5

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients
Removal of lymph nodes of chest cavity using an endoscope 32674
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

KRISTIN LAINE ROGERS PA
Physician Assistant
61 WHITCHER ST NE STE 4120
MARIETTA, GA 30060
Cobb County (770) 424-9732
DANIEL FORTES M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
61 WHITCHER ST NE STE 4120
MARIETTA, GA 30060
Cobb County (770) 424-9732
MR. PHILIP THOMAS DE ROSA PA-C
Physician Assistant
61 WHITCHER ST NE STE 4120
MARIETTA, GA 30060
Cobb County (770) 424-9732
DR. TINA CHARLETTE LUCAS-GLASS M.D.
Ophthalmology
61 WHITCHER ST NE STE 4120
MARIETTA, GA 30060
Cobb County (470) 267-2980
MS. JENNIFER JUNE MCCALL BSN,FNP-C
Nurse Practitioner (Family)
61 WHITCHER ST NE STE 4120
MARIETTA, GA 30060
Cobb County (770) 424-9732
ABBY D DICKENSON APRN
Nurse Practitioner (Family)
61 WHITCHER ST NE STE 4120
MARIETTA, GA 30060
Cobb County (770) 424-9732
WELLSTAR THORACIC SURGERY ASSOCIATES, LLC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
61 WHITCHER ST NE STE 4120
MARIETTA, GA 30060
Cobb County (770) 424-9732
NATHAN WESTERCAMP PA-C
Physician Assistant
61 WHITCHER ST NE STE 4120
MARIETTA, GA 30060
Cobb County (770) 424-9732

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 Ki Wan Kim's NPI number?

The NPI number for Ki Wan Kim is 1356490734. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Ki Wan Kim located?

Ki Wan Kim practices at 61 Whitcher St NE Ste 4120, Marietta, GA 30060. The listed phone number is (770) 424-9732.

What is Ki Wan Kim's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Ki Wan Kim enrolled in Medicare?

Yes. Ki Wan 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.

What insurance does Ki Wan Kim accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Ki Wan Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ki Wan Kim affiliated with any hospitals?

According to CMS data, Ki Wan Kim is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Paulding Medical Center, Wellstar Cobb Medical Center and Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Ki Wan Kim was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.