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KYU MIN SHIM MD
NPI 1619553625
Internal Medicine in Roseville, CA

Active since March 20, 2021PECOS EnrolledAccepts Medicare Assignment
1600 EUREKA RD, ROSEVILLE, CA 95661(916) 784-4000 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2024, Mar 20, 2021 (2 updates tracked since 2021).

About Kyu Min Shim Md NPPES

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

KYU MIN SHIM MD (NPI 1619553625) is an individual internal medicine provider in Roseville, California, licensed in California (A191336) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619553625
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKYU MIN SHIMCredential: MD
Location Address1600 EUREKA RDRoseville, CA 95661-3027
Mailing Address1600 Eureka RdRoseville, CA 95661-3027
Phone(916) 784-4000
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 20, 2021
Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1619553625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A191336
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1600 EUREKA RD, Roseville, CA 95661
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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 and accepts Medicare assignment

Kyu Min Shim Md 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.

PECOS PAC ID4587048814
PECOS Enrollment IDI20241018001812
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 95661 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

DR. VESNA IVANCIC COCHELL MD
Urology
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
LYNN TUYET NGUYEN PHARM.D
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
MR. BRYCE PHILLIP CARTWRIGHT PHYSICAL THERAPIST
Physical Therapist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4954
QUAN T. NGUYEN MD
Hospitalist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
JAMES H. HEYKES MD
Internal Medicine
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
MS. LINDA ROSE BROWN NP
Nurse Practitioner (Women's Health)
1600 EUREKA RD, WOMEN'S HEALTH , PERMANENTE MEDICAL GROUP
ROSEVILLE, CA 95661
Placer County (916) 784-5003
SCOTT W. ADAMS MD
Pediatrics (Pediatric Hematology-Oncology)
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
CAROL LYNN SCHULZ PHARM.D.
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4184

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 Kyu Min Shim's NPI number?

The NPI number for Kyu Min Shim is 1619553625. It was assigned to this individual provider in the NPPES registry on March 20, 2021.

Where is Kyu Min Shim located?

Kyu Min Shim practices at 1600 Eureka Rd, Roseville, CA 95661. The listed phone number is (916) 784-4000.

What is Kyu Min Shim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kyu Min Shim enrolled in Medicare?

Yes. Kyu Min Shim 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.

When was this NPI record last updated?

The NPPES record for Kyu Min Shim was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.