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TIMOTHY TAEHO KIM MD
NPI 1457633430
Hospitalist in New Haven, CT

Active since September 15, 2011PECOS EnrolledAccepts Medicare Assignment
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510(203) 688-4748(203) 688-4740 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 28, 2024, Jul 6, 2018 (2 updates tracked since 2018).

About Timothy Taeho Kim Md NPPES

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

TIMOTHY TAEHO KIM MD (NPI 1457633430) is an individual hospitalist provider in New Haven, Connecticut, licensed in Georgia (83996) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457633430
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameTIMOTHY TAEHO KIMCredential: MD
Location Address20 YORK STREET, CB-2041New Haven, CT 06510
Mailing Address20 York Street, Cb-2041New Haven, CT 06510-3220 · (203) 688-4748 · Fax (203) 688-4740
Phone(203) 688-4748
Fax(203) 688-4740
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2015
Enumeration DateSeptember 15, 2011
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1457633430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in GA · 83996
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 83996 (GA)
20 YORK STREET, CB-2041, New Haven, CT 06510
Open in Google Maps ↗

Other Names 1

Former Name (1)Tae Ho Kim Md

Secondary Practice Locations 2

Location 11000 Medical Center BlvdLawrenceville, GA 30046-7694 · Phone (678) 312-1000 · Fax (678) 312-3282
Location 24700 Waters AveSavannah, GA 31404-6220 · Phone (912) 350-8000

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

Timothy Taeho Kim Md 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 ID749583276
PECOS Enrollment IDI20191113002879
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 Reassignments

3

Medicare enrollment records show Timothy Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mill Hill Medical Consultants Inc
Same address
Hospitalist
20 YORK ST, CB 2041
New Haven, CT 06510
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Northeast Medical Group Inc
  • 1,824 clinicians in this Medicare group
NPI 1952624769 (203) 688-4741
North Atlanta Professional Services LLC
807 mi
Psychologist
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 783 clinicians in this Medicare group
NPI 1316959869 (855) 709-4535
Cogent Healthcare Of Georgia PC
830 mi
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 635 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
231 services117 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
107 services103 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
84 services84 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
82 services47 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
39 services27 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
16 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers25 claims25 services$17.56 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers27 claims27 services$91.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ALINA RAKHUBA MD
Hospitalist
20 YORK STREET, CB-2041
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748
MARIBEL CABRERA MARTINEZ M.D.
Hospitalist
20 YORK STREET, CB-2041
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748
OMAR YASSER ABED SHAKHTOUR MBBS
Hospitalist
20 YORK STREET, CB-2041
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (036) 884-7482
SCOTT NAVARRETT M.D.
Hospitalist
20 YORK STREET, CB-2041
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748
DR. PHYLLIS TAWIAH MD
Hospitalist
20 YORK STREET, CB-2041
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748
MISS DANIELLE PAZIENZA PA-C
Physician Assistant (Medical)
20 YORK STREET, CB-2041
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748
DR. NIDHI SHAH M.D.
Hospitalist
20 YORK STREET, CB-2041
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748
DR. OSAMA KANDALAFT MD
Internal Medicine
20 YORK STREET, CB-2041
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748

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 Timothy Kim's NPI number?

The NPI number for Timothy Kim is 1457633430. It was assigned to this individual provider in the NPPES registry on September 15, 2011. The provider is also known as Tae Ho Kim MD.

Where is Timothy Kim located?

Timothy Kim practices at 20 York Street, Cb-2041, New Haven, CT 06510. The listed phone number is (203) 688-4748.

What is Timothy Kim's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Timothy Kim enrolled in Medicare?

Yes. Timothy 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 organizations bill Medicare for Timothy Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Kim reassigns Medicare benefits to 3 organizations: Mill Hill Medical Consultants Inc (New Haven, CT), North Atlanta Professional Services LLC (Atlanta, GA) and Cogent Healthcare Of Georgia PC (Macon, GA). 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 Timothy Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Timothy Kim affiliated with any hospitals?

According to CMS data, Timothy Kim is affiliated with Northside Hospital Gwinnett and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Timothy Kim was last updated on June 28, 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.