KELLY HYUEJI YOM MD
NPI 1649852260
Ophthalmology - Glaucoma Specialist in Los Angeles, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Kelly Yom reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 123 clinicians in this Medicare group
Los Angeles, CA 90004
- Reassigned Medicare billing, California enrollment
- 11 clinicians in this Medicare group
Buena Park, CA 90621
- Reassigned Medicare billing, California enrollment
- 11 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 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.
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.
LOS ANGELES, CA 90095
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.
Which organizations bill Medicare for Kelly Yom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Yom reassigns Medicare benefits to 3 organizations: Jules Stein Eye Institute Medical Group (Los Angeles, CA), Bethel Eye Center Medical Corporation (Los Angeles, CA) and Eyecare Medical Corporation (Buena Park, CA). Each 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 Kelly Yom'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 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 16 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.
# Kelly Hyueji Yom, MD · NPI 1649852260
Glaucoma Specialist physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 23, 2021.
## Identity
- **NPI:** 1649852260 (Entity type: Individual)
- **Enumerated:** April 23, 2021
- **Primary specialty:** Ophthalmology - Glaucoma Specialist · taxonomy 207WX0009X
- **State license:** A182216 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 STEIN PLZ, Los Angeles, CA 90095-2004
- **Phone:** (310) 825-3090 · **Fax:** (310) 825-0441
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Jules Stein Eye Institute Medical Group (NPI 1326006966, Los Angeles, CA); Bethel Eye Center Medical Corporation (NPI 1972980191, Los Angeles, CA); Eyecare Medical Corporation (NPI 1427016120, Buena Park, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Iowa, Rj & L Carver College Of Medicine, class of 2021
## Record status
- **NPPES last updated:** July 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649852260) · Data from the CMS NPPES public registry.