JEANNIE KIM MD A PROFESSIONAL CORPORATION
NPI 1639616410
Internal Medicine - Pulmonary Disease in El Cajon, CA
About Jeannie Kim Md A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANNIE KIM MD A PROFESSIONAL CORPORATION (NPI 1639616410) is a healthcare organization registered as a pulmonary disease in El Cajon, California and active in the NPI registry since January 2017. The organization lists Jeannie G Kim, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeannie Kim Md A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jeannie Kim MD A Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jeannie Kim MD A Professional Corporation's NPI number?
The NPI number for Jeannie Kim MD A Professional Corporation is 1639616410. It was assigned to this organization in the NPPES registry on January 31, 2017.
Where is Jeannie Kim MD A Professional Corporation located?
Jeannie Kim MD A Professional Corporation is located at 1201 S Orange Ave, El Cajon, CA 92020. The listed phone number is (888) 657-1576.
What is Jeannie Kim MD A Professional Corporation's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Jeannie Kim MD A Professional Corporation enrolled in Medicare?
Yes. Jeannie Kim MD A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jeannie Kim MD A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pulmonary Disease) reassigns their Medicare billing to Jeannie Kim MD A Professional Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jeannie Kim MD A Professional Corporation was last updated on May 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jeannie Kim Md A Professional Corporation · NPI 1639616410
Pulmonary Disease organization in El Cajon, California. Organization record, active in the CMS NPPES registry since January 31, 2017.
## Identity
- **NPI:** 1639616410 (Entity type: Organization)
- **Enumerated:** January 31, 2017
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **Organization subpart:** No
- **Authorized official:** Jeannie Kim, PRESIDENT
## Practice location
- **Address:** 1201 S ORANGE AVE, El Cajon, CA 92020-7521
- **Phone:** (888) 657-1576
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Pulmonary Disease) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1639616410) · Data from the CMS NPPES public registry.