JACKSON PETER KIM MD
NPI 1538600952
Internal Medicine - Nephrology in Stanford, CA
About Jackson Peter Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON PETER KIM MD (NPI 1538600952) is an individual nephrology provider in Stanford, California, licensed in California (A158667) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Jackson Peter Kim Md 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.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
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 Jackson Kim's NPI number?
The NPI number for Jackson Kim is 1538600952. It was assigned to this individual provider in the NPPES registry on March 17, 2017.
Where is Jackson Kim located?
Jackson Kim practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.
What is Jackson Kim's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Jackson Kim enrolled in Medicare?
Yes. Jackson 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 Jackson Kim was last updated on April 19, 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.
# Jackson Peter Kim, MD · NPI 1538600952
Nephrology physician in Stanford, California. Individual provider, active in the CMS NPPES registry since March 17, 2017.
## Identity
- **NPI:** 1538600952 (Entity type: Individual)
- **Enumerated:** March 17, 2017
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** A158667 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 PASTEUR DR, Stanford, CA 94305-2200
- **Phone:** (650) 723-4000
## 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:** Other, class of 2017
## Record status
- **NPPES last updated:** April 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1538600952) · Data from the CMS NPPES public registry.