DR. TIMOTHY BANSUK KIM DO, MPH, MS
NPI 1639829435
Family Medicine in Santa Clara, CA
About Dr. Timothy Bansuk Kim Do, Mph, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY BANSUK KIM DO, MPH, MS (NPI 1639829435) is an individual family medicine provider in Santa Clara, California, licensed in California (1639829435) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2022).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Timothy Bansuk Kim Do, Mph, Ms 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95051 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SANTA CLARA, CA 95051
SANTA CLARA, CA 95051
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 Timothy Kim's NPI number?
The NPI number for Timothy Kim is 1639829435. It was assigned to this individual provider in the NPPES registry on March 24, 2022.
Where is Timothy Kim located?
Timothy Kim practices at 710 Lawrence Expy, Santa Clara, CA 95051. The listed phone number is (408) 851-1000.
What is Timothy Kim's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Timothy Kim enrolled in Medicare?
Yes. Timothy 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 Timothy Kim was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Dr. Timothy Bansuk Kim, DO, MPH, MS · NPI 1639829435
Family Medicine physician in Santa Clara, California. Individual provider, active in the CMS NPPES registry since March 24, 2022.
## Identity
- **NPI:** 1639829435 (Entity type: Individual)
- **Enumerated:** March 24, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 1639829435 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 710 LAWRENCE EXPY, Santa Clara, CA 95051-5173
- **Phone:** (408) 851-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Touro Un College Of Osteopathic Medicine, Vallejo, class of 2022
## Record status
- **NPPES last updated:** October 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639829435) · Data from the CMS NPPES public registry.