KATHLEEN KIM
NPI 1508213562
Family Medicine in Davis, CA
About Kathleen Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN KIM (NPI 1508213562) is an individual family medicine provider in Davis, California, licensed in California (19986) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2016).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathleen Kim 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95616 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kathleen Kim's NPI number?
The NPI number for Kathleen Kim is 1508213562. It was assigned to this individual provider in the NPPES registry on May 19, 2016.
Where is Kathleen Kim located?
Kathleen Kim practices at 2019 Anderson Rd Ste B, Davis, CA 95616. The listed phone number is (530) 758-5492.
What is Kathleen Kim's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kathleen Kim enrolled in Medicare?
Yes. Kathleen 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.
What insurance does Kathleen Kim accept?
Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Kathleen 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 Kathleen Kim was last updated on October 2, 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.
# Kathleen Kim · NPI 1508213562
Family Medicine physician in Davis, California. Individual provider, active in the CMS NPPES registry since May 19, 2016.
## Identity
- **NPI:** 1508213562 (Entity type: Individual)
- **Enumerated:** May 19, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 19986 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2019 ANDERSON RD STE B, Davis, CA 95616-0773
- **Phone:** (530) 758-5492
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2016
## Record status
- **NPPES last updated:** October 2, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1508213562) · Data from the CMS NPPES public registry.