LEESHAH KIM
NPI 1629640628
Anesthesiologist Assistant in Conyers, GA

Q: What is Leeshah Kim's NPI number?

The NPI number for Leeshah Kim is 1629640628. It was assigned to this individual provider in the NPPES registry on July 11, 2021.

Q: What is Leeshah Kim's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Leeshah Kim was last updated on July 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 11, 2021Accepts Medicare Assignment

1412 MILSTEAD AVE NE, CONYERS, GA 30012(770) 918-3000 Get Directions Write a Review

NPPES record last updated: July 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Leeshah Kim NPPES

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

LEESHAH KIM (NPI 1629640628) is an individual anesthesiologist assistant in Conyers, Georgia and active in the NPI registry since July 2021. She is affiliated with Northwest Health - Porter and is a graduate of Other (2021).

NPPES Registry Identity

NPI1629640628

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameLEESHAH KIM

Location Address1412 MILSTEAD AVE NEConyers, GA 30012-3877

Mailing Address1 Biscayne Dr Nw Unit 203Atlanta, GA 30309-1076 · (404) 422-4367

Phone(770) 918-3000

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 11, 2021

NPPES CertifiedJuly 11, 2021

✔ NPI 1629640628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1412 MILSTEAD AVE NE, Conyers, GA 30012

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Leeshah Kim 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 ID5890192207

PECOS Enrollment IDI20230213001161

Medicare Billing Reassignments

Medicare enrollment records show Leeshah Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rockdale Anesthesia Services, P.C.

0.2 mi

Anesthesiology

1359 MILSTEAD RD NE, SUITE 103
Conyers, GA 30012

Reassigned Medicare billing, Georgia enrollment
57 clinicians in this Medicare group

NPI 1619028396 (770) 388-7745

Porter County Anesthesia Associates PC

562 mi

Anesthesiology

85 E US HIGHWAY 6
Valparaiso, IN 46383

Reassigned Medicare billing, Indiana enrollment
55 clinicians in this Medicare group

NPI 1215974936 (219) 983-5743

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 6

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.

Anesthesia for x-ray or radiation therapy 01922

Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.

18 services18 patients

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

13 services13 patients

Anesthesia for x-ray on artery of brain, heart, or chest 01926

Anesthesia is given before an x-ray of the brain, heart, or chest artery to ensure comfort and stillness. It helps to eliminate discomfort or pain during the procedure. It's administered by a trained professional, ensuring a safe and smooth procedure.

12 services12 patients

Anesthesia for extensive surgery on spine 00670

Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.

11 services11 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

11 services11 patients

Anesthesia for nerve block and injection 01991

Anesthesia for nerve block and injection is a procedure used to numb specific areas, reducing or blocking pain signals. A medication is injected near nerves to cause numbness in a particular part of your body. This helps in performing certain medical procedures with minimal discomfort.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number150035

Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County

Emergency services Birthing friendly

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.

WALKER LAKE PHYSICIAN SERVICES, PC

Hospitalist