DR. JERRY BYUNGHO KIM M.D.
NPI 1548276777
Emergency Medicine in Orange, CA
About Dr. Jerry Byungho Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JERRY BYUNGHO KIM M.D. (NPI 1548276777) is an individual emergency medicine provider in Orange, California, licensed in California (A80563) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Torrance, and is a graduate of Rush Medical College Of Rush University (2001).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Dr. Jerry Byungho Kim M.d. 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
3Medicare enrollment records show Jerry Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 219 clinicians in this Medicare group
Garden Grove, CA 92843
- Reassigned Medicare billing, California enrollment
- 1,204 clinicians in this Medicare group
Fairfield, CA 94533
- Reassigned Medicare billing, California enrollment
- 212 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.
Areas of Expertise CMS Part B claims
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 92868 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ORANGE, CA 92868
ORANGE, CA 92868
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 Jerry Kim's NPI number?
The NPI number for Jerry Kim is 1548276777. It was assigned to this individual provider in the NPPES registry on July 31, 2006.
Where is Jerry Kim located?
Jerry Kim practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (714) 880-7812.
What is Jerry Kim's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jerry Kim enrolled in Medicare?
Yes. Jerry 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 Jerry Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Kim reassigns Medicare benefits to 3 organizations: Regents Of The University Of (Orange, CA), Cep America - California (Garden Grove, CA) and Solano Gateway Medical Group Inc (Fairfield, CA). 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 Jerry 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 Jerry Kim was last updated on February 21, 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.
# Dr. Jerry Byungho Kim, M.D. · NPI 1548276777
Emergency Medicine physician in Orange, California. Individual provider, active in the CMS NPPES registry since July 31, 2006.
## Identity
- **NPI:** 1548276777 (Entity type: Individual)
- **Enumerated:** July 31, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A80563 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 THE CITY DR S, Orange, CA 92868-3201
- **Phone:** (714) 880-7812
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of (NPI 1154379394, Orange, CA); Cep America - California (NPI 1720034143, Garden Grove, CA); Solano Gateway Medical Group Inc (NPI 1952344293, Fairfield, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rush Medical College Of Rush University, class of 2001
## Record status
- **NPPES last updated:** February 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1548276777) · Data from the CMS NPPES public registry.