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CECELIA KIM
NPI 1619555679
Surgery in Johnson City, TN

Active since March 31, 2021PECOS Enrolled
325 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 439-7201 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2026, Mar 31, 2021 (2 updates tracked since 2021).

About Cecelia Kim NPPES

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

CECELIA KIM (NPI 1619555679) is an individual surgery provider in Johnson City, Tennessee, licensed in Louisiana (351362) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (2021).

NPPES Registry Identity

NPI1619555679
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameCECELIA KIM
Location Address325 N STATE OF FRANKLIN RDJohnson City, TN 37604-6056
Mailing Address325 N State Of Franklin RdJohnson City, TN 37604-6056 · (423) 439-7201
Phone(423) 439-7201
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2021
Enumeration DateMarch 31, 2021
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1619555679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in LA · 351362
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
325 N STATE OF FRANKLIN RD, Johnson City, TN 37604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID345709184
PECOS Enrollment IDI20260822000968
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.

Medicare Billing Reassignment

Medicare enrollment records show Cecelia Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Administrators Of The Tulane Educational Fund
528 mi
Specialist
200 HOSPITAL DR W
Hattiesburg, MS 39402
  • Reassigned Medicare billing, Louisiana enrollment
  • Also billed through NPI 1245434224 (Louisiana)
  • 851 clinicians in this Medicare group
NPI 1033395298 (504) 988-2300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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.

SAMANTHA BOOKBINDER MD
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (845) 269-1362
DEBORAH ANN THIBEAULT LCSW
Social Worker (Clinical)
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7320
LEAH ALEXANDRA SURBAUGH PHARMD
Pharmacist (Psychiatric)
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7280
VARSHINI NARMADA RAMASAMY BALASUBRAMANIAN MBBS
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7320
HASAN DAHER MD
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7280
ANGELA G WILLOCKS NP
Nurse Practitioner (Family)
325 N STATE OF FRANKLIN RD, GROUND FLOOR
JOHNSON CITY, TN 37604
Washington County (423) 439-7320
JOHN WILLIAM SCHWEITZER M.D.
Pediatrics
325 N STATE OF FRANKLIN RD, GROUND FLOOR
JOHNSON CITY, TN 37604
Washington County (423) 439-7320
MICHAEL AGOSTINO DO
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7320

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 Cecelia Kim's NPI number?

The NPI number for Cecelia Kim is 1619555679. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Cecelia Kim located?

Cecelia Kim practices at 325 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 439-7201.

What is Cecelia Kim's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Cecelia Kim enrolled in Medicare?

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

Which organization bills Medicare for Cecelia Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cecelia Kim reassigns Medicare benefits to Administrators Of The Tulane Educational Fund (Hattiesburg, MS). The 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 Cecelia Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cecelia Kim accept?

Health plans from UnitedHealthcare list Cecelia Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cecelia Kim was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.