DR. KENNETH PAK KIM M.D.
NPI 1568690832
Anesthesiology in Marietta, GA

NPI Status: Active since June 25, 2009

Contact Information

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067
Phone: (470) 644-1274
Fax: (470) 644-1119

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  • Individual
  • Male
  • Years of Experience 21
  • Anesthesiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KENNETH KIM

This page provides the complete NPI Profile along with additional information for Kenneth Kim, an anesthesiologist established in Marietta, Georgia with a medical specialization in Anesthesiology and more than 21 years of experience. He graduated from Medical University Of South Carolina College Of Medicine in 2005. The healthcare provider is registered in the NPI registry with number 1568690832 assigned on June 2009. The practitioner's primary taxonomy code is 207L00000X with license number 97909 (GA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1568690832
Provider Name
DR. KENNETH PAK KIM M.D.
Gender
Male
Entity Type
Individual
Location Address
2540 WINDY HILL RD SE MARIETTA, GA 30067
Location Phone
(470) 644-1274
Location Fax
(470) 644-1119
Mailing Address
2540 WINDY HILL RD SE MARIETTA, GA 30067
Mailing Phone
(470) 644-1274
Mailing Fax
(470) 644-1119
Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year
2005
Is Sole Proprietor?
No
Enumeration Date
06-25-2009
Last Update Date
05-17-2024
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An anesthesiologist like Kenneth Kim manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Location Map

Secondary Locations

  • 707 SW Washington St Ste 700
    Portland, OR 97205
    (503) 299-9906

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
License No.
97909
License State
GA
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

MD29309 (OR)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO HDHP 8050 10004 - EPO
  • SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
  • SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
  • SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
  • SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
  • SoloCare Standard Exp Bronze EPO 10008 - EPO
  • SoloCare Standard Gold EPO 10006 - EPO
  • SoloCare Standard Platinum EPO 10005 - EPO
  • SoloCare Standard Silver EPO 10007 - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P00826857OTHER (01)ORRAILROAD MEDICARE
500612003MEDICAID (05)OR 
8552531MEDICAID (05)WA 

Medicare Participation & PECOS Enrollment Status

Kenneth Kim is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kenneth Kim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8426103045

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231220003168

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kenneth Kim is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER677 CHURCH STREET
MARIETTA, GA 30060
(770) 793-5000Acute Care Hospitals
WELLSTAR COBB MEDICAL CENTER3950 AUSTELL RD
AUSTELL, GA 30106
(770) 732-4000Acute Care Hospitals

Reviews for DR. KENNETH PAK KIM M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568690832
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128129086
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 2 + 9 + 0 + 8 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1568690832 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

WELLSTAR PSYCHIATRY, LLC

Psychiatry & Neurology

(Psychiatry)

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067

(770) 644-1570

MICHAEL BRICE DILLE MD

Radiology

(Diagnostic Radiology)

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067

(770) 688-3804

DR. JOAN S. PERLOW M.D.

Radiology

(Diagnostic Radiology)

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067

(770) 688-3804

RADIOLOGY ATLANTA GROUP

Radiology

(Diagnostic Radiology)

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067

(770) 644-1242

JOANN RUSSO CRNA

Nurse Anesthetist, Certified Registered

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067

(770) 644-1274

WINDY HILL ANESTHESIA ASSOCIATES, PC

Anesthesiology

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067

(770) 644-1274

MRS. STACY CAMPBELL RAACK PT

Physical Therapist

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067

(770) 644-1000

MS. AMANDA J. GREEN NP

Nurse Practitioner

(Psychiatric/Mental Health)

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067

(770) 644-1570

WELLSTAR MEDICAL GROUP, LLC

Psychiatry & Neurology

(Psychiatry)

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067

(770) 644-1570

ADAM MEADOWS M.D.

Psychiatry & Neurology

(Psychiatry)

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067

(770) 644-1570

DR. CHRISTOPHER RIDDELL MD

Psychiatry & Neurology

(Psychiatry)

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067

(770) 644-1570

MS. JENNIFER COOK LCSW

Social Worker

(Clinical)

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067

(770) 644-1570

ELIZABETH M LICALZI M.D.

Psychiatry & Neurology

(Psychiatry)

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067

(770) 644-1570

CATHARINE GRACE WOLFE MD

Psychiatry & Neurology

(Psychiatry)

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067

(770) 644-1570

IFFAT BHUIYAN MD

Psychiatry & Neurology

(Psychiatry)

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067

(770) 644-1570

ALLISON R PEKLANSKY D.O.

Psychiatry & Neurology

(Psychiatry)

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067

(770) 644-1570

DR. JAMIE CLOWER LEE DNP, APRN-BC

Clinical Nurse Specialist

(Psychiatric/Mental Health, Child & Adolescent)

2540 WINDY HILL RD SE
WELLSTAR PSYCHIATRY
MARIETTA, GA
ZIP 30067

(770) 644-1570

BYRON P JAMERSON RPSGT, RST, CCSH

Specialist/Technologist, Other

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067

(770) 644-1755

MR. THOMAS HOWELL ARRINGTON CCSH, RPSGT, RST

Specialist/Technologist, Other

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067

(770) 644-1750

WENDY N SMITH RPSGT, CCSH

Specialist/Technologist, Other

2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067

(770) 644-1755

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568690832, enumerated as an "individual" on June 25, 2009.

The provider is located at 2540 WINDY HILL RD SE MARIETTA, GA 30067 and the phone number is (470) 644-1274.

Anesthesiology with taxonomy code 207L00000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Railroad Medicare,. Please consult your insurance carrier or call the provider to verify.

Kenneth Kim is affiliated with: WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER and WELLSTAR COBB MEDICAL CENTER.