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DR. JULIE NAKYUNG KIM MDMD
NPI 1417214503
Surgery - Plastic and Reconstructive Surgery in Palo Alto, CA

Active since April 13, 2012PECOS EnrolledAccepts Medicare Assignment
795 EL CAMINO REAL, PALO ALTO, CA 94301(650) 853-2961 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2021, Aug 5, 2020 (2 updates tracked since 2020).

About Dr. Julie Nakyung Kim Mdmd NPPES

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

DR. JULIE NAKYUNG KIM MDMD (NPI 1417214503) is an individual plastic and reconstructive surgery provider in Palo Alto, California, licensed in California (A166360) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1417214503
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameDR. JULIE NAKYUNG KIMCredential: MDMD
Location Address795 EL CAMINO REALPalo Alto, CA 94301-2302
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (650) 853-2961
Phone(650) 853-2961
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 13, 2012
Last NPPES UpdateSeptember 10, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2021
✔ NPI 1417214503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in CA · A166360
Definition
A surgeon who specializes in plastic and reconstructive surgery.
795 EL CAMINO REAL, Palo Alto, CA 94301
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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

Dr. Julie Nakyung Kim Mdmd 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 ID1759659923
PECOS Enrollment IDI20200729002045
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 Reassignment

Medicare enrollment records show Julie Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation
Same address
Multi-Specialty
795 EL CAMINO REAL
Palo Alto, CA 94301
NPI 1013950807 (650) 321-4121

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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services31 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

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. SHIRA BETH LIPTON M.D.
Dermatology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2982
DR. KATHERINE A KWIATKOWSKI MD
Psychiatry & Neurology (Psychiatry)
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2904
MS. HEATHER HUGHES ROSE PT
Physical Therapist
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (707) 280-2417
CRYSTAL TSAI MS, RD
Dietitian, Registered
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2961
RUTH ROTHMAN MD
Dermatology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-4865
WINONA TAN M.D.
Obstetrics & Gynecology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2917
SHERRY HUANG MD
Family Medicine
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2984
DR. JULIA MCKENZIE GABHART M.D.
Pediatrics
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 321-4121

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 Julie Kim's NPI number?

The NPI number for Julie Kim is 1417214503. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Where is Julie Kim located?

Julie Kim practices at 795 El Camino Real, Palo Alto, CA 94301. The listed phone number is (650) 853-2961.

What is Julie Kim's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Julie Kim enrolled in Medicare?

Yes. Julie 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 organization bills Medicare for Julie Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julie Kim reassigns Medicare benefits to Sutter Bay Medical Foundation (Palo Alto, CA). The 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 Julie Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Julie Kim was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.