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JEONGHOON KIM MD
NPI 1548755754
Pediatrics in Red Bluff, CA

Active since June 29, 2018PECOS Enrolled
2450 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080(530) 527-0414 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 24, 2021, Jun 29, 2018 (2 updates tracked since 2018).

About Jeonghoon Kim Md NPPES

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

JEONGHOON KIM MD (NPI 1548755754) is an individual pediatrics provider in Red Bluff, California, licensed in California (A174213) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548755754
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJEONGHOON KIMCredential: MD
Location Address2450 SISTER MARY COLUMBA DRRed Bluff, CA 96080-4356
Mailing Address2450 Sister Mary Columba DrRed Bluff, CA 96080-4356
Phone(530) 527-0414
Sole ProprietorNo
Enumeration DateJune 29, 2018
Last NPPES UpdateAugust 24, 20212 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
✔ NPI 1548755754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A174213
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2450 SISTER MARY COLUMBA DR, Red Bluff, CA 96080
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeonghoon Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96080 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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.

LASSEN MEDICAL GROUP INC
Family Medicine
2450 SISTER MARY COLUMBA DR
RED BLUFF, CA 96080
Tehama County (530) 527-0141
LEE SHOOP MD
Family Medicine
2450 SISTER MARY COLUMBA DR
RED BLUFF, CA 96080
Tehama County (530) 527-0414
DAVID DAHNKE
Internal Medicine
2450 SISTER MARY COLUMBA DR
RED BLUFF, CA 96080
Tehama County (530) 527-0414
MRS. KATE ASHLEY ELLIS PA-C
Physician Assistant (Medical)
2450 SISTER MARY COLUMBA DR
RED BLUFF, CA 96080
Tehama County (530) 527-0414
MORGAN LEE SANDHAGEN PHYSICIAN ASSISTANT
Physician Assistant
2450 SISTER MARY COLUMBA DR
RED BLUFF, CA 96080
Tehama County (530) 390-3938
KISUNG KIM BM
Pediatrics (Adolescent Medicine)
2450 SISTER MARY COLUMBA DR
RED BLUFF, CA 96080
Tehama County (530) 527-0414
DR. DANIEL FERRIN LEAVITT MD
Family Medicine
2450 SISTER MARY COLUMBA DR
RED BLUFF, CA 96080
Tehama County (530) 527-0414
INTEGRATED DERMATOLOGY OF LINCOLN, PC
Dermatology
2450 SISTER MARY COLUMBA DR
RED BLUFF, CA 96080
Tehama County (530) 527-0414

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 Jeonghoon Kim's NPI number?

The NPI number for Jeonghoon Kim is 1548755754. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Where is Jeonghoon Kim located?

Jeonghoon Kim practices at 2450 Sister Mary Columba Dr, Red Bluff, CA 96080. The listed phone number is (530) 527-0414.

What is Jeonghoon Kim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jeonghoon Kim enrolled in Medicare?

Yes. Jeonghoon Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeonghoon Kim was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.