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KELLY HYUEJI YOM MD
NPI 1649852260
Ophthalmology - Glaucoma Specialist in Los Angeles, CA

Active since April 23, 2021PECOS EnrolledAccepts Medicare Assignment
100 STEIN PLZ, LOS ANGELES, CA 90095(310) 825-3090(310) 825-0441 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2025, Apr 23, 2021 (2 updates tracked since 2021).

About Kelly Hyueji Yom Md NPPES

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

KELLY HYUEJI YOM MD (NPI 1649852260) is an individual glaucoma specialist in Los Angeles, California, licensed in California (A182216) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2021).

NPPES Registry Identity

NPI1649852260
Entity TypeIndividualFemale
Primary Taxonomy207WX0009X
Provider Legal NameKELLY HYUEJI YOMCredential: MD
Location Address100 STEIN PLZLos Angeles, CA 90095-2004
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 825-3090
Fax(310) 825-0441
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2021
Enumeration DateApril 23, 2021
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1649852260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
License✔ Licensed in CA · A182216
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
100 STEIN PLZ, Los Angeles, CA 90095
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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

Kelly Hyueji Yom Md 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 ID7012426208
PECOS Enrollment IDI20250530001021
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

DR. STEPHAN YUAN-YEE CHIU M.D.
Ophthalmology
100 STEIN PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-3090
KELSEY ANDREA ROELOFS MD
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
100 STEIN PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-3090
KETAKI MILIND PANSE MD
Ophthalmology
100 STEIN PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-3090
JONATHAN HESTON
Ophthalmology
100 STEIN PLZ, 1-340
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5000
SHERWIN ISENBERG M.D.
Ophthalmology
100 STEIN PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-8840
MR. ROGER DUNCAN JOHNSON JR. M.D.
Ophthalmology
100 STEIN PLZ, 1-340
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5000
BRIAN ADRIAN LEE M.D.
Ophthalmology
100 STEIN PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-3090
JAFFER MUHANNAD KATTAN M.D.
Ophthalmology
100 STEIN PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-3090

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 Kelly Yom's NPI number?

The NPI number for Kelly Yom is 1649852260. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Where is Kelly Yom located?

Kelly Yom practices at 100 Stein Plz, Los Angeles, CA 90095. The listed phone number is (310) 825-3090.

What is Kelly Yom's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Kelly Yom enrolled in Medicare?

Yes. Kelly Yom 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 Kelly Yom was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.