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LORI CRYSTAL KIM MD
NPI 1437338605
Internal Medicine - Hematology & Oncology in San Rafael, CA

Active since October 24, 2007PECOS Enrolled
820 LAS GALLINAS AVE, SAN RAFAEL, CA 94903(415) 446-2500 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 14, 2024, Dec 14, 2021 (2 updates tracked since 2021).

About Lori Crystal Kim Md NPPES

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

LORI CRYSTAL KIM MD (NPI 1437338605) is an individual hematology & oncology provider in San Rafael, California, licensed in California (A109816) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437338605
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameLORI CRYSTAL KIMCredential: MD
Location Address820 LAS GALLINAS AVESan Rafael, CA 94903-3410
Mailing Address820 Las Gallinas AveSan Rafael, CA 94903-3410 · (415) 446-2500
Phone(415) 446-2500
Sole ProprietorNo
Enumeration DateOctober 24, 2007
Last NPPES UpdateNovember 14, 20242 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
✔ NPI 1437338605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in CA · A109816
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
820 LAS GALLINAS AVE, San Rafael, CA 94903
Open in Google Maps ↗

Other Identifiers 2

Other09164FL · Bcbs
Medicaid280072100FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lori Crystal 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.

Medicare Billing Reassignment

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

Permanente Medical Group Inc
11 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94903 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
$202.63 typical visit price
range $69.07 – $202.63
Typical copayment $50.65 (range $17.26 – $50.65)
Most-billed visit code 99205
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
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.

DR. LESLIE FRANCES CHATHAM PH.D.
Psychologist (Clinical)
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Marin County (415) 444-3522
DR. ALI NAVARRO PH.D.
Psychologist
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Marin County (415) 444-3522
DR. DAVID LEH-SHENG HUANG M.D.
Psychiatry & Neurology (Psychiatry)
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
MARGARET LEVENTER L..C.S.W.
Social Worker (Clinical)
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Marin County (415) 444-3032
DR. STACEY NELSON CLEMENCEAU PH.D.
Psychologist (Clinical)
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Marin County (415) 444-3522
DR. RALPH JAMES LAMSON PH.D.
Psychologist (Addiction (Substance Use Disorder))
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Marin County (415) 444-3531
DR. SUSAN ANN DYER PSY.D.
Psychologist (Clinical)
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Marin County (415) 444-3512
DR. MICHAEL FRED HOYT PH.D.
Psychologist (Clinical)
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Marin County (415) 444-3073

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 Lori Kim's NPI number?

The NPI number for Lori Kim is 1437338605. It was assigned to this individual provider in the NPPES registry on October 24, 2007.

Where is Lori Kim located?

Lori Kim practices at 820 Las Gallinas Ave, San Rafael, CA 94903. The listed phone number is (415) 446-2500.

What is Lori Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Lori Kim enrolled in Medicare?

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

Which organization bills Medicare for Lori Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Kim reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, 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 Lori 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 Lori Kim was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.