MELODY KIM O.D.
NPI 1487082749
Optometrist in Sylmar, CA
About Melody Kim O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELODY KIM O.D. (NPI 1487082749) is an individual optometrist in Sylmar, California, licensed in California (14726TLG) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
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
Melody Kim O.d. 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 Reassignments
3Medicare enrollment records show Melody Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Panorama City, CA 91402
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1396287082 (California)
- 13,921 clinicians in this Medicare group
Van Nuys, CA 91405
- Reassigned Medicare billing, California enrollment
- 36 clinicians in this Medicare group
Los Alamitos, CA 90720
- Reassigned Medicare billing, California enrollment
- 488 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 91342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Melody Kim's NPI number?
The NPI number for Melody Kim is 1487082749. It was assigned to this individual provider in the NPPES registry on October 24, 2013.
Where is Melody Kim located?
Melody Kim practices at 12737 Glenoaks Blvd Ste 3, Sylmar, CA 91342. The listed phone number is (818) 574-7350.
What is Melody Kim's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Melody Kim enrolled in Medicare?
Yes. Melody 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 Melody Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melody Kim reassigns Medicare benefits to 3 organizations: Southern California Permanente Medical Group (Panorama City, CA), De La Pena Eye Clinic, A Medical Group, Inc (Van Nuys, CA) and First Choice Physician Partners (Los Alamitos, CA). 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 Melody 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 Melody Kim was last updated on May 7, 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.
# Melody Kim, O.D. · NPI 1487082749
Optometrist provider in Sylmar, California. Individual provider, active in the CMS NPPES registry since October 24, 2013.
## Identity
- **NPI:** 1487082749 (Entity type: Individual)
- **Enumerated:** October 24, 2013
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 14726TLG (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12737 GLENOAKS BLVD STE 3, Sylmar, CA 91342-4724
- **Phone:** (818) 574-7350
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1407888928, Panorama City, CA); De La Pena Eye Clinic, A Medical Group, Inc (NPI 1952748501, Van Nuys, CA); First Choice Physician Partners (NPI 1427479203, Los Alamitos, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** May 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1487082749) · Data from the CMS NPPES public registry.