DR. KYEONG SEON KIM M.D.
NPI 1356786115
Anesthesiology - Pediatric Anesthesiology in Sacramento, CA

Q: What is Kyeong Seon Kim's NPI number?

The NPI number for Kyeong Seon Kim is 1356786115. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Q: What is Kyeong Seon Kim's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Q: When was this NPI record last updated?

The NPPES record for Kyeong Seon Kim was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 07, 2013PECOS Enrolled

4150 V ST, SACRAMENTO, CA 95817(916) 734-5031 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 11, 2022, Aug 5, 2021, Aug 24, 2018 (3 updates tracked since 2018).

On this page

About Dr. Kyeong Seon Kim M.d. NPPES

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

DR. KYEONG SEON KIM M.D. (NPI 1356786115) is an individual pediatric anesthesiology provider in Sacramento, California, licensed in California (A134046) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356786115

Entity TypeIndividualFemale

Primary Taxonomy207LP3000X

Provider Legal NameDR. KYEONG SEON KIMCredential: M.D.

Location Address4150 V STSacramento, CA 95817

Mailing Address1800 Harrison St, 7th FlOakland, CA 94612-3429 · (510) 625-2856 · Fax (877) 738-4262

Phone(916) 734-5031

Sole ProprietorYes

Enumeration DateMay 7, 2013

Last NPPES UpdateFebruary 11, 20223 updates tracked since enumeration

NPPES CertifiedAugust 5, 2021

✔ NPI 1356786115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207LP3000X

License✔ Licensed in CA · A134046

Definition

An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.

4150 V ST, Sacramento, CA 95817

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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 (PECOS)

Dr. Kyeong Seon Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kyeong Seon Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The Univ Of Ca

Same address

Maternal & Fetal Medicine

4860 Y ST
Sacramento, CA 95817

Reassigned Medicare billing, California enrollment
2,570 clinicians in this Medicare group

NPI 1013906973 (916) 734-6930

Permanente Medical Group Inc

38 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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.

KENNETH D. WHEELER CRNA

Nurse Anesthetist, Certified Registered

4150 V ST, PSSB-SUITE 1200, MED: ANESTHESIA
SACRAMENTO, CA 95817

Sacramento County (916) 734-7985

DR. MICHAEL JOHN THORNTON MD

Internal Medicine (Critical Care Medicine)

4150 V ST, SUITE 3400
SACRAMENTO, CA 95817

Sacramento County (916) 734-3566

THOMAS M. GOODNOW CRNA

Nurse Anesthetist, Certified Registered

4150 V ST, PSSB-SUITE 1200, MED: ANESTHESIA
SACRAMENTO, CA 95817

Sacramento County (916) 734-7985

DR. POURIA KASHKOULI M.D.

Internal Medicine

4150 V ST, #3116
SACRAMENTO, CA 95817

Sacramento County (916) 734-7080

DR. ALISON SEMRAD D.O.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

4150 V ST, #3116
SACRAMENTO, CA 95817

Sacramento County (916) 734-7080

DR. DIANE HADDOCK M.D.

Internal Medicine

4150 V ST, #3116
SACRAMENTO, CA 95817

Sacramento County (916) 734-7080

JOHN S MILLAR M.D.

Internal Medicine (Critical Care Medicine)

4150 V ST, SUITE 3400
SACRAMENTO, CA 95817

Sacramento County (916) 734-3564

UC DAVIS

General Acute Care Hospital

4150 V ST, 2100
SACRAMENTO, CA 95817

Sacramento County (916) 734-8583

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 Kyeong Seon Kim's NPI number?

The NPI number for Kyeong Seon Kim is 1356786115. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Where is Kyeong Seon Kim located?

Kyeong Seon Kim practices at 4150 V St, Sacramento, CA 95817. The listed phone number is (916) 734-5031.

What is Kyeong Seon Kim's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Kyeong Seon Kim enrolled in Medicare?

Yes. Kyeong Seon Kim is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kyeong Seon Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyeong Seon Kim reassigns Medicare benefits to 2 organizations: Regents Of The Univ Of Ca (Sacramento, CA) and Permanente Medical Group Inc (Stockton, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyeong Seon Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kyeong Seon Kim was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.