DR. HYUNGJIN BENJAMIN KIM D.O.
NPI 1619397296
Internal Medicine - Cardiovascular Disease in Loma Linda, CA
About Dr. Hyungjin Benjamin Kim D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HYUNGJIN BENJAMIN KIM D.O. (NPI 1619397296) is an individual cardiovascular disease provider in Loma Linda, California, licensed in California (20A14406) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2014).
NPPES Registry Identity
Specialties & Licenses 2
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. Hyungjin Benjamin Kim D.o. 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
2Medicare enrollment records show Hyungjin Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Loma Linda, CA 92354
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Anaheim, CA 92807
- Reassigned Medicare billing, California enrollment
- 13,921 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 19
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 92354 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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Hyungjin Kim's NPI number?
The NPI number for Hyungjin Kim is 1619397296. It was assigned to this individual provider in the NPPES registry on April 22, 2014.
Where is Hyungjin Kim located?
Hyungjin Kim practices at 11234 Anderson St Gme Office Westerly Suite C, Loma Linda, CA 92354. The listed phone number is (909) 558-4074.
What is Hyungjin Kim's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Hyungjin Kim enrolled in Medicare?
Yes. Hyungjin 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 Hyungjin Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hyungjin Kim reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Southern California Permanente Medical Group (Anaheim, 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 Hyungjin 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 Hyungjin Kim was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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. Hyungjin Benjamin Kim, D.O. · NPI 1619397296
Cardiovascular Disease physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since April 22, 2014.
## Identity
- **NPI:** 1619397296 (Entity type: Individual)
- **Enumerated:** April 22, 2014
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 20A14406 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, GME OFFICE WESTERLY SUITE C, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-4074
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Faculty Physicians And Surgeons Of Llusm (NPI 1245605781, Loma Linda, CA); Southern California Permanente Medical Group (NPI 1952333460, Anaheim, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa, class of 2014
## Record status
- **NPPES last updated:** February 25, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1619397296) · Data from the CMS NPPES public registry.