WILLIAM KIM MD
NPI 1477025153
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since December 19, 2018PECOS Enrolled
1665 AURORA CT STE 3004, AURORA, CO 80045(720) 848-0500 Get Directions Write a Review

NPPES record last updated: July 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 4, 2023, Dec 19, 2018 (2 updates tracked since 2018).

About William Kim Md NPPES

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

WILLIAM KIM MD (NPI 1477025153) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477025153
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWILLIAM KIMCredential: MD
Location Address1665 AURORA CT STE 3004Aurora, CO 80045-2517
Mailing Address1665 Aurora Ct Ste 3004Aurora, CO 80045-2517
Sole ProprietorNo
Enumeration DateDecember 19, 2018
Last NPPES UpdateJuly 4, 20232 updates tracked since enumeration
NPPES CertifiedJuly 4, 2023
✔ NPI 1477025153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1665 AURORA CT STE 3004, Aurora, CO 80045

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William 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 William Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dermatology
805 MADISON ST, STE 701
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 2 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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1665 AURORA CT STE 3004
AURORA, CO 80045
Dermatology
1665 AURORA CT STE 3004
AURORA, CO 80045
Dermatology
1665 AURORA CT STE 3004
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
1665 AURORA CT STE 3004
AURORA, CO 80045
Dermatology
1665 AURORA CT STE 3004
AURORA, CO 80045
Dermatology
1665 AURORA CT STE 3004
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
1665 AURORA CT STE 3004
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
1665 AURORA CT STE 3004
AURORA, CO 80045

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 William Kim's NPI number?

The NPI number for William Kim is 1477025153. It was assigned to this individual provider in the NPPES registry on December 19, 2018.

Where is William Kim located?

William Kim practices at 1665 Aurora Ct Ste 3004, Aurora, CO 80045. The listed phone number is (720) 848-0500.

What is William Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is William Kim enrolled in Medicare?

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

Which organization bills Medicare for William Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Kim reassigns Medicare benefits to Spectrum Dermatology Of Seattle PLLC (Seattle, WA). 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 William Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Kim accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list William Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Kim was last updated on July 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.