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DR. SUSAN KIM MD
NPI 1417921586
Pediatrics - Pediatric Rheumatology in San Francisco, CA

Active since February 15, 2006PECOS Enrolled
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143(617) 355-6117 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 12, 2021, Aug 9, 2016 (2 updates tracked since 2016).

About Dr. Susan Kim Md NPPES

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

DR. SUSAN KIM MD (NPI 1417921586) is an individual pediatric rheumatology provider in San Francisco, California, licensed in California (C144819) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417921586
Entity TypeIndividualFemale
Primary Taxonomy2080P0216X
Provider Legal NameDR. SUSAN KIMCredential: MD
Location Address505 PARNASSUS AVESan Francisco, CA 94143-2204
Mailing Address505 Parnassus AveSan Francisco, CA 94143-2204
Phone(617) 355-6117
Sole ProprietorNo
Enumeration DateFebruary 15, 2006
Last NPPES UpdateMay 12, 20212 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
✔ NPI 1417921586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
Licenses✔ Licensed in CA · C144819✔ Licensed in MA · 214160
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedPediatricsTaxonomy 208000000X · License 214160 (MA)
505 PARNASSUS AVE, San Francisco, CA 94143
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

CATHERINE RAMSDELL NNP
Nurse Practitioner (Neonatal)
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-1000
DR. CLAUDIO ANDRES BRAVO CARRILLO M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 502-4243
MAURICIO JALIFE BUCAY M.D
Hospitalist
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 750-4994
EMMA B SHAK M.D.
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-1528
DR. ADRIANA A.T. MARTIN M.D., PH.D.
Internal Medicine
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 514-7288
WILLIAM JAMES DEARDORFF
Internal Medicine (Geriatric Medicine)
505 PARNASSUS AVE, 15 LONG
SAN FRANCISCO, CA 94143
San Francisco County (415) 406-1417
KEERTHANA REDDY BANALA
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 514-7288
ROBERT CHRISTIAN WENZ
Nurse Anesthetist, Certified Registered
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-8054

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 Susan Kim's NPI number?

The NPI number for Susan Kim is 1417921586. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Susan Kim located?

Susan Kim practices at 505 Parnassus Ave, San Francisco, CA 94143. The listed phone number is (617) 355-6117.

What is Susan Kim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Susan Kim enrolled in Medicare?

Yes. Susan Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Kim was last updated on May 12, 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.