JIENSUP KIM M.D.
NPI 1639131154
Physical Medicine & Rehabilitation - Pain Medicine in Colton, CA

Q: What is Jiensup Kim's NPI number?

The NPI number for Jiensup Kim is 1639131154. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Q: What is Jiensup Kim's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Q: When was this NPI record last updated?

The NPPES record for Jiensup Kim was last updated on March 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 April 03, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

900 E WASHINGTON ST, SUITE 100A, COLTON, CA 92324(909) 370-0300(909) 370-0303 Get Directions Write a Review

NPPES record last updated: March 24, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Jiensup Kim M.d. NPPES

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

JIENSUP KIM M.D. (NPI 1639131154) is an individual pain medicine provider in Colton, California, licensed in California (G75806) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1991).

NPPES Registry Identity

NPI1639131154

Entity TypeIndividualMale

Primary Taxonomy2081P2900X

Provider Legal NameJIENSUP KIMCredential: M.D.

Location Address900 E WASHINGTON ST, SUITE 100AColton, CA 92324-7111

Mailing AddressPo Box 71Redlands, CA 92373-0021 · (909) 370-0300 · Fax (909) 370-0303

Phone(909) 370-0300

Fax(909) 370-0303

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 1991

Enumeration DateApril 3, 2006

Last NPPES UpdateMarch 24, 2011

✔ NPI 1639131154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in CA · G75806

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

900 E WASHINGTON ST, Colton, CA 92324

Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedZZZ37592ZCA

Medicare UPING21366CA

Medicare PINZZZ07116ZCA

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

Jiensup Kim M.d. 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 ID3173526415

PECOS Enrollment IDI20060807000225

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 17

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

1,506 services272 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483

A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.

492 services207 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

120 services50 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

118 services32 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

84 services56 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

58 services42 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

55 services55 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

50 services25 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484

This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.

33 services24 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

30 services24 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

26 services21 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

25 services20 patients

Injection of trigger points, 1-2 muscles 20552

Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.

22 services13 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

19 services11 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

19 services17 patients

Injection of upper or middle spine facet joint using imaging guidance, second level 64491

This procedure involves injecting medication into the upper or middle spine facet joint, a small joint in your back. This is done under imaging guidance for precision. It's a second-level procedure, meaning it's done on two separate joints. It can help reduce pain and inflammation.

16 services14 patients

Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones 64628

This procedure involves the use of heat to disable the basivertebral nerve within the first two bones of your lower spine. It's done to alleviate chronic lower back pain. It's a safe, minimally invasive procedure with a quick recovery time.

13 services13 patients

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, fixed height, with any type side rails, with mattress E0250

DME-Hospital Beds · category DB000N

1 supplier11 claims12 services$30.45 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DAVID LYMAN WOOD M.D.

Orthopaedic Surgery

900 E WASHINGTON ST, SUITE 100
COLTON, CA 92324

San Bernardino County (909) 433-3200

PREMIER OUTPATIENT SURGERY CENTER, INC.

Clinic/Center (Ambulatory Surgical)

900 E WASHINGTON ST, STE 155
COLTON, CA 92324

San Bernardino County (909) 370-2190

MR. MICHAEL T REID CRNA

Nurse Anesthetist, Certified Registered

900 E WASHINGTON ST, STE. 100
COLTON, CA 92324

San Bernardino County (909) 370-2190

GLOBAL ANESTHESIA SERVICES INC A PROFESSIONAL NURSING CORPORATION

Nurse Anesthetist, Certified Registered

900 E WASHINGTON ST, SUITE 155
COLTON, CA 92324

San Bernardino County (909) 370-2190

JIENSUP KIM MD A PROFESSIONAL CORPORATION

Specialist

900 E WASHINGTON ST, SUITE 100A
COLTON, CA 92324

San Bernardino County (909) 370-0300

EXECUTIVE MEDICAL & SURGICAL ASSOCIATES INC.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

900 E WASHINGTON ST, SUITE 300
COLTON, CA 92324

San Bernardino County (909) 824-2422

BARRY A WOOD RPT

Physical Therapist (Orthopedic)

900 E WASHINGTON ST, STE. 100
COLTON, CA 92324

San Bernardino County (909) 433-3200

E ALBERT GUARIN BALBAS MD PC

Physical Medicine & Rehabilitation (Pain Medicine)

900 E WASHINGTON ST, SUITE 300
COLTON, CA 92324

San Bernardino County (909) 824-2422

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 Jiensup Kim's NPI number?

The NPI number for Jiensup Kim is 1639131154. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Jiensup Kim located?

Jiensup Kim practices at 900 E Washington St Suite 100A, Colton, CA 92324. The listed phone number is (909) 370-0300.

What is Jiensup Kim's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Jiensup Kim enrolled in Medicare?

Yes. Jiensup 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.

When was this NPI record last updated?

The NPPES record for Jiensup Kim was last updated on March 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.