DR. SUSAN KIM MD
NPI 1417921586
Pediatrics - Pediatric Rheumatology in San Francisco, CA
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Susan Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Susan Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 1,159 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 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.
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.
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
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.
Which organizations bill Medicare for Susan Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Kim reassigns Medicare benefits to 3 organizations: Ucsf Pediatrics Associates (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). 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 Susan 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 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.
# Dr. Susan Kim, MD · NPI 1417921586
Pediatric Rheumatology physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since February 15, 2006.
## Identity
- **NPI:** 1417921586 (Entity type: Individual)
- **Enumerated:** February 15, 2006
- **Primary specialty:** Pediatrics - Pediatric Rheumatology · taxonomy 2080P0216X
- **State license:** C144819 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 505 PARNASSUS AVE, San Francisco, CA 94143-2204
- **Phone:** (617) 355-6117
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Ucsf Pediatrics Associates (NPI 1376614016, San Francisco, CA); University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1417921586) · Data from the CMS NPPES public registry.