PETER SOO-HWAN KIM
NPI 1629688775
Physician Assistant in Chandler, AZ

Active since August 04, 2020PECOS EnrolledAccepts Medicare Assignment
87.81/100
CMS Quality Rating
485 S DOBSON RD STE 110, CHANDLER, AZ 85224(480) 728-4470(480) 728-4499 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2026, Feb 9, 2021, Aug 4, 2020 (3 updates tracked since 2020).

About Peter Soo-hwan Kim NPPES

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

PETER SOO-HWAN KIM (NPI 1629688775) is an individual physician assistant in Chandler, Arizona and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gilbert, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1629688775
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePETER SOO-HWAN KIM
Location Address485 S DOBSON RD STE 110Chandler, AZ 85224-5600
Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358
Fax(480) 728-4499
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 4, 2020
Last NPPES UpdateMay 26, 20263 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
NPI 1629688775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 8841 (AZ)
485 S DOBSON RD STE 110, Chandler, AZ 85224

Secondary Practice Location 1

Location 13420 S Mercy Rd Ste 200Gilbert, AZ 85297-0423 · Phone (480) 909-3788 · Fax (480) 728-8191

Accepted Insurance

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

Peter Soo-hwan 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 ID7517366255
PECOS Enrollment IDI20220304002051
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.

Areas of Expertise CMS Part B claims 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services15 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85224 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

87.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40
Cost61.22

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.

Physician Assistant
485 S DOBSON RD STE 110
CHANDLER, AZ 85224
Orthopaedic Surgery (Orthopaedic Trauma)
485 S DOBSON RD STE 110
CHANDLER, AZ 85224
Physician Assistant (Surgical)
485 S DOBSON RD STE 110
CHANDLER, AZ 85224
Physician Assistant (Surgical)
485 S DOBSON RD STE 110
CHANDLER, AZ 85224
Orthopaedic Surgery
485 S DOBSON RD STE 110
CHANDLER, AZ 85224
Nurse Practitioner (Acute Care)
485 S DOBSON RD STE 110
CHANDLER, AZ 85224
Physician Assistant (Surgical)
485 S DOBSON RD STE 110
CHANDLER, AZ 85224
Orthopaedic Surgery (Orthopaedic Trauma)
485 S DOBSON RD STE 110
CHANDLER, AZ 85224

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 Peter Kim's NPI number?

The NPI number for Peter Kim is 1629688775. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Where is Peter Kim located?

Peter Kim practices at 485 S Dobson Rd Ste 110, Chandler, AZ 85224. The listed phone number is (480) 728-4470.

What is Peter Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Peter Kim enrolled in Medicare?

Yes. Peter 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.

What insurance does Peter Kim accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Peter 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 Peter Kim was last updated on May 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.