NA EUN KIM MD
NPI 1477948859
Surgery in Los Angeles, CA
About Na Eun Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NA EUN KIM MD (NPI 1477948859) is an individual surgery provider in Los Angeles, California, licensed in California (A178238) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2015).
NPPES Registry Identity
Specialties & Licenses 3
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
Na Eun 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 Na Eun Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chino Hills, CA 91709
- Reassigned Medicare billing, California enrollment
- 5,228 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 90024 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90024
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 Na Eun Kim's NPI number?
The NPI number for Na Eun Kim is 1477948859. It was assigned to this individual provider in the NPPES registry on April 1, 2015.
Where is Na Eun Kim located?
Na Eun Kim practices at 100 Ucla Medical Plz Ste 310, Los Angeles, CA 90024. The listed phone number is (310) 825-2144.
What is Na Eun Kim's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Na Eun Kim enrolled in Medicare?
Yes. Na Eun 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 Na Eun Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Na Eun Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Chino Hills, 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 Na Eun 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 Na Eun Kim was last updated on October 27, 2023. 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.
# Na Eun Kim, MD · NPI 1477948859
Surgery physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 1, 2015.
## Identity
- **NPI:** 1477948859 (Entity type: Individual)
- **Enumerated:** April 1, 2015
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** A178238 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 UCLA MEDICAL PLZ STE 310, Los Angeles, CA 90024-6999
- **Phone:** (310) 825-2144
## 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:** Southern California Permanente Medical Group (NPI 1396287082, Chino Hills, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers R W Johnson Medical School, class of 2015
## Record status
- **NPPES last updated:** October 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1477948859) · Data from the CMS NPPES public registry.