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JESSICA S. KIM MD
NPI 1366020869
Pediatrics in Salt Lake City, UT

Active since March 29, 2021PECOS Enrolled
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-5701 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2022, Mar 29, 2021 (2 updates tracked since 2021).

About Jessica S. Kim Md NPPES

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

JESSICA S. KIM MD (NPI 1366020869) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (12985855-1205) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366020869
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJESSICA S. KIMCredential: MD
Location Address81 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1125
Mailing Address81 N Mario Capecchi DrSalt Lake City, UT 84113-1125 · (801) 662-5701
Phone(801) 662-5701
Sole ProprietorNo
Enumeration DateMarch 29, 2021
Last NPPES UpdateAugust 18, 20222 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
✔ NPI 1366020869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in UT · 12985855-1205
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.
81 N MARIO CAPECCHI DR, Salt Lake City, UT 84113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica S. Kim Md 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 84113 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

DR. THOMAS PATRICK CURTIN M.D.
Anesthesiology
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5700
MELISSA ANN WRIGHT MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 213-3599
UNIVERSITY OF UTAH PEDIATRIC SERVICES
Pediatrics (Pediatric Allergy/Immunology)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-6336
LAURA R GARCIA GODOY MD
Hospitalist
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 581-7818
JESSICA NIELSEN FNP
Nurse Practitioner (Family)
81 N MARIO CAPECCHI DR
SLC, UT 84113
Salt Lake County (801) 587-2042
ANA MARIA PEREZ LCSW
Social Worker (Clinical)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3600
ADDISON DAY APRN
Nurse Practitioner (Family)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
ELIZABETH QIUFENG ANDERSON MD
Student in an Organized Health Care Education/Training Program
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5700

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 Jessica Kim's NPI number?

The NPI number for Jessica Kim is 1366020869. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Jessica Kim located?

Jessica Kim practices at 81 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-5701.

What is Jessica Kim's specialty?

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

Is Jessica Kim enrolled in Medicare?

Yes. Jessica Kim is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Kim accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jessica 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.

When was this NPI record last updated?

The NPPES record for Jessica Kim was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.