DR. IAN KIM MD
NPI 1366594293
Family Medicine in Shelby, NC
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
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Ian Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brevard, NC 28712
- Reassigned Medicare billing, North Carolina enrollment
- 32 clinicians in this Medicare group
Leawood, KS 66211
- Reassigned Medicare billing, North Carolina enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
SHELBY, NC 28152
SHELBY, NC 28152
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 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.
Where is Ian Kim located?
Ian Kim practices at 1895 E Dixon Blvd, Shelby, NC 28152. The listed phone number is (800) 805-6989.
What is Ian Kim's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ian Kim enrolled in Medicare?
Yes. Ian 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.
Which organizations bill Medicare for Ian Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ian Kim reassigns Medicare benefits to 2 organizations: Integrated Wound Care North Carolina PLLC (Brevard, NC) and Patheous Medical PLLC (Leawood, KS). 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 Ian Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ian Kim accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Ian 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 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.
# Dr. Ian Kim, MD · NPI 1366594293
Family Medicine physician in Shelby, North Carolina. Individual provider, active in the CMS NPPES registry since January 18, 2007.
## Identity
- **NPI:** 1366594293 (Entity type: Individual)
- **Enumerated:** January 18, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 9400542 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1895 E DIXON BLVD, Shelby, NC 28152-6901
- **Phone:** (800) 805-6989
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Integrated Wound Care North Carolina PLLC (NPI 1942865316, Brevard, NC); Patheous Medical PLLC (NPI 1366121527, Leawood, KS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 1992
## Record status
- **NPPES last updated:** July 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1366594293) · Data from the CMS NPPES public registry.