DR. BENJAMIN KIM M.D.
NPI 1487681102
Colon & Rectal Surgery in Salt Lake City, UT

Q: What is Benjamin Kim's NPI number?

The NPI number for Benjamin Kim is 1487681102. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Q: What is Benjamin Kim's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Kim was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 27, 2006PECOS Enrolled

82.37/100

CMS Quality Rating

1220 E 3900 S, 4F, SALT LAKE CITY, UT 84124(801) 268-8223(801) 268-8248 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Benjamin Kim M.d. NPPES

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

DR. BENJAMIN KIM M.D. (NPI 1487681102) is an individual colon & rectal surgery provider in Salt Lake City, Utah, licensed in Utah (1003810220) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487681102

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NameDR. BENJAMIN KIMCredential: M.D.

Location Address1220 E 3900 S, 4FSalt Lake City, UT 84124-1327

Mailing Address1220 E 3900 S, 4fSalt Lake City, UT 84124-1327 · (801) 268-8223 · Fax (801) 268-8248

Phone(801) 268-8223

Fax(801) 268-8248

Sole ProprietorNo

Enumeration DateJune 27, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1487681102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in UT · 1003810220

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License 1003810220 (UT)

Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 1003810220 (UT)

1220 E 3900 S, Salt Lake City, UT 84124

Open in Google Maps ↗

Other Identifiers 3

Other45948UT · Pehp

Other1700075UT · United Health Of Utah

OtherQM0000033040UT · Altius

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin Kim M.d. 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 Benjamin Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multicare Health System

550 mi

Internal Medicine

15533 E BROADWAY AVE
Spokane Valley, WA 99037

Reassigned Medicare billing, Washington enrollment
4,383 clinicians in this Medicare group

NPI 1336902345 (509) 530-4260

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 84124 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

82.37/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

83.57

Promoting Interoperability

100

Improvement Activities

Cost

57.66

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.

RIDING ANESTHESIA LLC

Nurse Anesthetist, Certified Registered

1220 E 3900 S, 4G
SALT LAKE CITY, UT 84124

Salt Lake County (800) 748-4868

COMMUNTIY PHARMACY

Pharmacy (Community/Retail Pharmacy)

1220 E 3900 S, STE 1H
SALT LAKE CITY, UT 84124

Salt Lake County (801) 270-0600

SMP FAMILY MEDICINE, PC

Family Medicine

1220 E 3900 S, SUITE 4A
SALT LAKE CITY, UT 84124

Salt Lake County (801) 747-0922

RICHARD SCHWARTZ MD PC

Neurological Surgery

1220 E 3900 S, SUITE 4E
SALT LAKE CITY, UT 84124

Salt Lake County (801) 261-8507

DR. RICHARD H SCHWARTZ MD

Neurological Surgery

1220 E 3900 S, STE 4-E
SALT LAKE CITY, UT 84124

Salt Lake County (801) 261-8507

DR. DENNIS L AVNER M.D.

Internal Medicine (Gastroenterology)

1220 E 3900 S, SUITE 3C
SALT LAKE CITY, UT 84124

Salt Lake County (801) 262-9555

BRADY THEOBALD INC

Nurse Anesthetist, Certified Registered

1220 E 3900 S
SALT LAKE CITY, UT 84124

Salt Lake County (800) 748-4868

JANET MYSHRALL P.T.

Physical Therapist

1220 E 3900 S, SUITE 4I
SALT LAKE CITY, UT 84124

Salt Lake County (435) 901-3579

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 Benjamin Kim's NPI number?

The NPI number for Benjamin Kim is 1487681102. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Benjamin Kim located?

Benjamin Kim practices at 1220 E 3900 S 4F, Salt Lake City, UT 84124. The listed phone number is (801) 268-8223.

What is Benjamin Kim's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Benjamin Kim enrolled in Medicare?

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

Which organization bills Medicare for Benjamin Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Kim reassigns Medicare benefits to Multicare Health System (Spokane Valley, 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 Benjamin 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 Benjamin Kim was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.