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EUNSUN KIM
NPI 1508408899
Nurse Practitioner - Family in Fremont, CA

Active since October 08, 2019PECOS EnrolledAccepts Medicare Assignment
2500 MOWRY AVENUE, SUITE 227, FREMONT, CA 94538(510) 248-1600(510) 818-8709 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 30, 2023, Oct 8, 2019 (2 updates tracked since 2019).

About Eunsun Kim NPPES

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

EUNSUN KIM (NPI 1508408899) is an individual family provider in Fremont, California, licensed in California (NP95009190) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1508408899
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEUNSUN KIM
Location Address2500 MOWRY AVENUE, SUITE 227Fremont, CA 94538
Mailing Address2500 Mowry Avenue, Suite 227Fremont, CA 94538 · (510) 248-1600 · Fax (510) 818-8709
Phone(510) 248-1600
Fax(510) 818-8709
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 8, 2019
Last NPPES UpdateMay 30, 20232 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
✔ NPI 1508408899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95009190
2500 MOWRY AVENUE, Fremont, CA 94538
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16380 Clark AveDublin, CA 94568-3036 · Phone (925) 875-1677
Location 22571 Park AveConcord, CA 94520-1901 · Phone (925) 674-2100 · Fax (925) 689-5135

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

Eunsun 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.

PECOS PAC ID4486087327
PECOS Enrollment IDI20191205003217
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
137 services106 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
78 services73 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers12 claims910 services$0.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DESMOND ERASMUS MD
Neurological Surgery
2500 MOWRY AVENUE, #222
FREMONT, CA 94538
Alameda County (510) 818-1160

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 Eunsun Kim's NPI number?

The NPI number for Eunsun Kim is 1508408899. It was assigned to this individual provider in the NPPES registry on October 8, 2019.

Where is Eunsun Kim located?

Eunsun Kim practices at 2500 Mowry Avenue Suite 227, Fremont, CA 94538. The listed phone number is (510) 248-1600.

What is Eunsun Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Eunsun Kim enrolled in Medicare?

Yes. Eunsun 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.

When was this NPI record last updated?

The NPPES record for Eunsun Kim was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.