1. Home
  2. Directory
  3. California
  4. Sacramento
  5. Anesthesiology
  6. NPI Profile

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

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: August 09, 2026.

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

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
Open in Google Maps ↗

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. 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.

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.

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.