PAUL DONG-IL KIM PA-C
NPI 1447624911
Physician Assistant in Redding, CA

Q: What is Paul Kim's NPI number?

The NPI number for Paul Kim is 1447624911. It was assigned to this individual provider in the NPPES registry on November 21, 2015.

Q: What is Paul Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Kim was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 November 21, 2015PECOS EnrolledAccepts Medicare Assignment

1742 OREGON ST, REDDING, CA 96001(530) 226-7419(530) 262-6849 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2016, Dec 11, 2015, Nov 21, 2015 (3 updates tracked since 2015).

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About Paul Dong-il Kim Pa-c NPPES

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

PAUL DONG-IL KIM PA-C (NPI 1447624911) is an individual physician assistant in Redding, California, licensed in California (53309) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Redding, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1447624911

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NamePAUL DONG-IL KIMCredential: PA-C

Location Address1742 OREGON STRedding, CA 96001-1717

Mailing Address2165 Larkspur LnRedding, CA 96002-0600 · (530) 226-7419 · Fax (530) 262-6849

Phone(530) 226-7419

Fax(530) 262-6849

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateNovember 21, 2015

Last NPPES UpdateFebruary 15, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2024

✔ NPI 1447624911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in CA · 53309✔ Licensed in GA · 7659

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1742 OREGON ST, Redding, CA 96001

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Secondary Practice Location 1

Location 12865 Churn Creek Rd, Suite ARedding, CA 96002-1117 · Phone (530) 646-7269 · Fax (530) 275-2201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Dong-il Kim Pa-c 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 ID749582807

PECOS Enrollment IDI20191126001612

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.

Areas of Expertise CMS Part B claims 2

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

597 services86 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96001 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

OLGA SAMPLAWSKI MMSC, PA-C

Physician Assistant (Medical)