MIDEUM TIMOTHY KIM NURSE PRACTITIONER
NPI 1386333151
Nurse Practitioner - Family in Long Beach, CA

Q: What is Mideum Kim's NPI number?

The NPI number for Mideum Kim is 1386333151. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Q: What is Mideum Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mideum Kim was last updated on October 16, 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 May 05, 2023PECOS EnrolledAccepts Medicare Assignment

2776 PACIFIC AVE, LONG BEACH, CA 90806(562) 997-2049(562) 595-6985 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 16, 2023, May 5, 2023 (2 updates tracked since 2023).

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About Mideum Timothy Kim Nurse Practitioner NPPES

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

MIDEUM TIMOTHY KIM NURSE PRACTITIONER (NPI 1386333151) is an individual family provider in Long Beach, California, licensed in California (NP95024886) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1386333151

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMIDEUM TIMOTHY KIMCredential: NURSE PRACTITIONER

Location Address2776 PACIFIC AVELong Beach, CA 90806-2613

Mailing Address2776 Pacific AveLong Beach, CA 90806-2613 · (562) 997-2049 · Fax (562) 595-6985

Phone(562) 997-2049

Fax(562) 595-6985

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMay 5, 2023

Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration

NPPES CertifiedOctober 16, 2023

✔ NPI 1386333151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · NP95024886

2776 PACIFIC AVE, Long Beach, CA 90806

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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

Mideum Timothy Kim Nurse Practitioner 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 ID9931563632

PECOS Enrollment IDI20230913004370

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.

Medicare Billing Reassignments

Medicare enrollment records show Mideum Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

B And K Health Care PC

15 mi

Psychiatric/Mental Health

1110 W LA PALMA AVE STE 9
Anaheim, CA 92801

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1477362952 (714) 512-1319

Global Transitional Care, LLC

20 mi

Specialist

150 PAULARINO AVE STE D182
Costa Mesa, CA 92626

Reassigned Medicare billing, California enrollment
38 clinicians in this Medicare group

NPI 1245630607 (949) 668-2321

Grow Healthcare Group PC

320 mi

Mental Health

99 S ALMADEN BLVD STE 600
San Jose, CA 95113

Reassigned Medicare billing, California enrollment
3,139 clinicians in this Medicare group

NPI 1154994846 (408) 402-4385

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 6

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 high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

625 services215 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

415 services210 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

221 services205 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

205 services205 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

189 services184 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90806 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

RONALD D FILLMORE CRNFA

Registered Nurse (Registered Nurse First Assistant)

2776 PACIFIC AVE, PACIFIC HOSPITAL OF LONG BEACH
LONG BEACH, CA 90806

Los Angeles County (760) 534-9550

SILVAN MEDICAL CONSULTING, INC

Psychiatry & Neurology (Psychiatry)