DR. IAN KIM MD
NPI 1366594293
Family Medicine in Shelby, NC

Q: What is Ian Kim's NPI number?

The NPI number for Ian Kim is 1366594293. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is Ian Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ian Kim was last updated on July 7, 2023. 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.

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment

1895 E DIXON BLVD, SHELBY, NC 28152(800) 805-6989 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2023, Sep 6, 2022, Sep 28, 2018 and 2 more (5 updates tracked since 2017).

On this page

About Dr. Ian Kim Md NPPES

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

DR. IAN KIM MD (NPI 1366594293) is an individual family medicine provider in Shelby, North Carolina, licensed in North Carolina (9400542) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kinston, and is a graduate of Loma Linda University School Of Medicine (1992).

NPPES Registry Identity

NPI1366594293

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. IAN KIMCredential: MD

Location Address1895 E DIXON BLVDShelby, NC 28152-6901

Mailing Address213 Cattle Ridge RdWaxhaw, NC 28173-6843 · (704) 975-9636

Phone(800) 805-6989

Sole ProprietorYes

Medical School CMSLoma Linda University School Of MedicineGraduated 1992

Enumeration DateJanuary 18, 2007

Last NPPES UpdateJuly 7, 20235 updates tracked since enumeration

NPPES CertifiedJuly 7, 2023

✔ NPI 1366594293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 9400542

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 9400542 (NC)

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X

1895 E DIXON BLVD, Shelby, NC 28152

Open in Google Maps ↗

Secondary Practice Location 1

Location 12908 N Herritage StKinston, NC 28501-1580 · Phone (252) 523-3111 · Fax (252) 523-9572

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

Dr. Ian 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 ID5092629709

PECOS Enrollment IDI20031119000655

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

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

91 services91 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28152 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Leave this field empty

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.

ZOE ELIZABETH HAMRICK CADC

Counselor (Addiction (Substance Use Disorder))