THOMAS KIM MD
NPI 1457640500
Emergency Medicine in Truckee, CA
About Thomas Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS KIM MD (NPI 1457640500) is an individual emergency medicine provider in Truckee, California, licensed in California (A124929) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fresno, and is a graduate of Rutgers New Jersey Medical School (2011).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Thomas 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.
Medicare Billing Reassignment
Medicare enrollment records show Thomas Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Truckee, CA 96161
- Reassigned Medicare billing, California enrollment
- 2,323 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96161 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
TRUCKEE, CA 96161
TRUCKEE, CA 96161
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 Thomas Kim's NPI number?
The NPI number for Thomas Kim is 1457640500. It was assigned to this individual provider in the NPPES registry on March 29, 2011.
Where is Thomas Kim located?
Thomas Kim practices at 10121 Pine Ave, Truckee, CA 96161. The listed phone number is (530) 587-6011.
What is Thomas Kim's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Thomas Kim enrolled in Medicare?
Yes. Thomas 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 organization bills Medicare for Thomas Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Kim reassigns Medicare benefits to Cep America - California (Truckee, 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 Thomas 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 Thomas Kim was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Thomas Kim, MD · NPI 1457640500
Emergency Medicine physician in Truckee, California. Individual provider, active in the CMS NPPES registry since March 29, 2011.
## Identity
- **NPI:** 1457640500 (Entity type: Individual)
- **Enumerated:** March 29, 2011
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A124929 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10121 PINE AVE, Truckee, CA 96161-4856
- **Phone:** (530) 587-6011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cep America - California (NPI 1336492446, Truckee, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers New Jersey Medical School, class of 2011
## Record status
- **NPPES last updated:** July 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457640500) · Data from the CMS NPPES public registry.