MICHELLE KIM OD
NPI 1497432058
Optometrist in Philadelphia, PA
About Michelle Kim Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE KIM OD (NPI 1497432058) is an individual optometrist in Philadelphia, Pennsylvania, licensed in New York (TUV009823-01) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of State University Of New York - State College Optometry (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Accepted Insurance
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
Michelle Kim Od 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
5Medicare enrollment records show Michelle Kim reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19123
- Reassigned Medicare billing, Pennsylvania enrollment
- 15 clinicians in this Medicare group
Philadelphia, PA 19122
- Reassigned Medicare billing, Pennsylvania enrollment
- 24 clinicians in this Medicare group
Philadelphia, PA 19147
- Reassigned Medicare billing, Pennsylvania enrollment
- 13 clinicians in this Medicare group
Philadelphia, PA 19124
- Reassigned Medicare billing, Pennsylvania enrollment
- 17 clinicians in this Medicare group
Bala Cynwyd, PA 19004
- Reassigned Medicare billing, Pennsylvania enrollment
- 16 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 19123 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 11
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 Michelle Kim's NPI number?
The NPI number for Michelle Kim is 1497432058. It was assigned to this individual provider in the NPPES registry on July 5, 2023.
Where is Michelle Kim located?
Michelle Kim practices at 180 W Girard Ave Ste 5, Philadelphia, PA 19123. The listed phone number is (215) 554-6222.
What is Michelle Kim's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Michelle Kim enrolled in Medicare?
Yes. Michelle 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 Michelle Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Kim reassigns Medicare benefits to 5 organizations: Trend Eye Care LLC (Philadelphia, PA), Trend Eye Care II LLC (Philadelphia, PA), New World Vision Center, Inc. (Philadelphia, PA), Harbison Eye Care LLC (Philadelphia, PA) and City Line Eye Care LLC (Bala Cynwyd, PA). 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 Michelle Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michelle Kim accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 14 other insurers list Michelle 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 Michelle Kim was last updated on July 1, 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.
# Michelle Kim, OD · NPI 1497432058
Optometrist provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 5, 2023.
## Identity
- **NPI:** 1497432058 (Entity type: Individual)
- **Enumerated:** July 5, 2023
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TUV009823-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 180 W GIRARD AVE STE 5, Philadelphia, PA 19123-1660
- **Phone:** (215) 554-6222 · **Fax:** (215) 554-6200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Trend Eye Care LLC (NPI 1457780595, Philadelphia, PA); Trend Eye Care II LLC (NPI 1285029223, Philadelphia, PA); New World Vision Center, Inc. (NPI 1427124221, Philadelphia, PA); Harbison Eye Care LLC (NPI 1174182588, Philadelphia, PA); City Line Eye Care LLC (NPI 1851975312, Bala Cynwyd, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York - State College Optometry, class of 2023
## Record status
- **NPPES last updated:** July 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1497432058) · Data from the CMS NPPES public registry.