ROBERT KIM MD
NPI 1386105203
Emergency Medicine in Lodi, CA

Active since March 26, 2019PECOS EnrolledAccepts Medicare Assignment
94.72/100
CMS Quality Rating
975 S FAIRMONT AVE, LODI, CA 95240(209) 334-3411 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Robert Kim Md NPPES

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

ROBERT KIM MD (NPI 1386105203) is an individual emergency medicine provider in Lodi, California, licensed in California (A176974) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of State University Of New York Downstate Medical Center (2019).

NPPES Registry Identity

NPI1386105203
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameROBERT KIMCredential: MD
Location Address975 S FAIRMONT AVELodi, CA 95240-5179
Mailing Address1411 E 31st StOakland, CA 94602-1092
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2019
Enumeration DateMarch 26, 2019
Last NPPES UpdateApril 13, 2022
NPPES CertifiedApril 13, 2022
NPI 1386105203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · A176974
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
975 S FAIRMONT AVE, Lodi, CA 95240

Secondary Practice Location 1

Location 11411 E 31st StOakland, CA 94602-1092 · Phone (914) 826-5237

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

Robert 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 ID1850770470
PECOS Enrollment IDI20220628000718
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
64 services63 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95240 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.91
Improvement Activities40

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.

Dietitian, Registered
975 S FAIRMONT AVE
LODI, CA 95240
Pathology (Anatomic Pathology & Clinical Pathology)
975 S FAIRMONT AVE
LODI, CA 95240
Emergency Medicine
975 S FAIRMONT AVE
LODI, CA 95240
Physician Assistant
975 S FAIRMONT AVE
LODI, CA 95240
Pharmacy (Clinic Pharmacy)
975 S FAIRMONT AVE, 2415 W VINE #104
LODI, CA 95240
Nurse Practitioner (Family)
975 S FAIRMONT AVE
LODI, CA 95240
Radiology (Diagnostic Radiology)
975 S FAIRMONT AVE
LODI, CA 95240
Pediatrics
975 S FAIRMONT AVE
LODI, CA 95240

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 Robert Kim's NPI number?

The NPI number for Robert Kim is 1386105203. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Robert Kim located?

Robert Kim practices at 975 S Fairmont Ave, Lodi, CA 95240. The listed phone number is (209) 334-3411.

What is Robert Kim's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Robert Kim enrolled in Medicare?

Yes. Robert 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.

When was this NPI record last updated?

The NPPES record for Robert Kim was last updated on April 13, 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.