AHLEE KIM M.D.
NPI 1639513955
Pediatrics - Pediatric Endocrinology in Los Angeles, CA

Active since April 18, 2013PECOS Enrolled
4650 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 660-2450 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 13, 2023, Sep 10, 2019 (2 updates tracked since 2019).

About Ahlee Kim M.d. NPPES

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

AHLEE KIM M.D. (NPI 1639513955) is an individual pediatric endocrinology provider in Los Angeles, California, licensed in Tennessee (59247) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639513955
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameAHLEE KIMCredential: M.D.
Location Address4650 W SUNSET BLVDLos Angeles, CA 90027-6062
Mailing Address4650 W Sunset Blvd # Ms 87Los Angeles, CA 90027-6062
Sole ProprietorNo
Enumeration DateApril 18, 2013
Last NPPES UpdateApril 13, 20232 updates tracked since enumeration
NPPES CertifiedApril 13, 2023
✔ NPI 1639513955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in TN · 59247
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
4650 W SUNSET BLVD, Los Angeles, CA 90027

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Ahlee Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
848 ADAMS AVE.
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 582 clinicians in this Medicare group

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 90027 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Pediatrics
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Pediatrics (Pediatric Pulmonology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
General Acute Care Hospital (Children)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Physical Therapist (Pediatrics)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Psychologist (Clinical Child & Adolescent)
4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027
Pediatrics (Pediatric Emergency Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4650 W SUNSET BLVD
LOS ANGELES, CA 90027

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 Ahlee Kim's NPI number?

The NPI number for Ahlee Kim is 1639513955. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Ahlee Kim located?

Ahlee Kim practices at 4650 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 660-2450.

What is Ahlee Kim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Ahlee Kim enrolled in Medicare?

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

Which organization bills Medicare for Ahlee Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ahlee Kim reassigns Medicare benefits to Ut Lebonheur Pediatric Specialists, Inc. (Memphis, TN). 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 Ahlee Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ahlee Kim was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.