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
- 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
- Code Navigator
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) |
---|---|---|---|---|
1 | 207L00000X | Allopathic & 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 |
---|---|---|---|
P00826857 | OTHER (01) | OR | RAILROAD MEDICARE |
500612003 | MEDICAID (05) | OR | |
8552531 | MEDICAID (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 CENTER | 677 CHURCH STREET MARIETTA, GA 30060 | (770) 793-5000 | Acute Care Hospitals | |
WELLSTAR COBB MEDICAL CENTER | 3950 AUSTELL RD AUSTELL, GA 30106 | (770) 732-4000 | Acute Care Hospitals |
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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. | |||||||||
1 | 5 | 6 | 8 | 6 | 9 | 0 | 8 | 3 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 12 | 8 | 12 | 9 | 0 | 8 | 6 | |
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 = 2 | 2 |
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
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(Psychiatry)
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MARIETTA, GA
ZIP 30067
MICHAEL BRICE DILLE MD
Radiology
(Diagnostic Radiology)
2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067
DR. JOAN S. PERLOW M.D.
Radiology
(Diagnostic Radiology)
2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067
RADIOLOGY ATLANTA GROUP
Radiology
(Diagnostic Radiology)
2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067
JOANN RUSSO CRNA
Nurse Anesthetist, Certified Registered
2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067
WINDY HILL ANESTHESIA ASSOCIATES, PC
Anesthesiology
2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067
MRS. STACY CAMPBELL RAACK PT
Physical Therapist
2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067
MS. AMANDA J. GREEN NP
Nurse Practitioner
(Psychiatric/Mental Health)
2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067
WELLSTAR MEDICAL GROUP, LLC
Psychiatry & Neurology
(Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067
ADAM MEADOWS M.D.
Psychiatry & Neurology
(Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067
DR. CHRISTOPHER RIDDELL MD
Psychiatry & Neurology
(Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067
MS. JENNIFER COOK LCSW
Social Worker
(Clinical)
2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067
ELIZABETH M LICALZI M.D.
Psychiatry & Neurology
(Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067
CATHARINE GRACE WOLFE MD
Psychiatry & Neurology
(Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067
IFFAT BHUIYAN MD
Psychiatry & Neurology
(Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067
ALLISON R PEKLANSKY D.O.
Psychiatry & Neurology
(Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067
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
BYRON P JAMERSON RPSGT, RST, CCSH
Specialist/Technologist, Other
2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067
MR. THOMAS HOWELL ARRINGTON CCSH, RPSGT, RST
Specialist/Technologist, Other
2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067
WENDY N SMITH RPSGT, CCSH
Specialist/Technologist, Other
2540 WINDY HILL RD SE
MARIETTA, GA
ZIP 30067
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.