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MI KYUNG KIM DPM
NPI 1699030163
Podiatrist - Foot & Ankle Surgery in Lawrenceville, GA

Active since July 10, 2012PECOS EnrolledAccepts Medicare Assignment
1790 ATKINSON RD STE D200, LAWRENCEVILLE, GA 30043(678) 731-7545(678) 731-7546 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2017, Sep 19, 2016, Jul 14, 2016 and 1 more (4 updates tracked since 2016).

About Mi Kyung Kim Dpm NPPES

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

MI KYUNG KIM DPM (NPI 1699030163) is an individual foot & ankle surgery provider in Lawrenceville, Georgia, licensed in Georgia (POD001300) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2012).

NPPES Registry Identity

NPI1699030163
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameMI KYUNG KIMCredential: DPM
Location Address1790 ATKINSON RD STE D200Lawrenceville, GA 30043-7991
Mailing Address1790 Atkinson Rd Ste D200Lawrenceville, GA 30043-7991 · (678) 731-7545 · Fax (678) 731-7546
Phone(678) 731-7545
Fax(678) 731-7546
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 2012
Enumeration DateJuly 10, 2012
Last NPPES UpdateMay 10, 20174 updates tracked since enumeration
✔ NPI 1699030163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in GA · POD001300
1790 ATKINSON RD STE D200, Lawrenceville, GA 30043
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIN202I483145GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Magnolia Health, Ambetter Health and more.Insurance ›

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

Mi Kyung Kim Dpm 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 ID7911291711
PECOS Enrollment IDI20160802001342
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
75 services75 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
65 services43 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
51 services36 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
37 services31 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MK PODIATRY LLC
Podiatrist (Foot & Ankle Surgery)
1790 ATKINSON RD STE D200
LAWRENCEVILLE, GA 30043
Gwinnett County (404) 291-6473

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 Mi Kim's NPI number?

The NPI number for Mi Kim is 1699030163. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Where is Mi Kim located?

Mi Kim practices at 1790 Atkinson Rd Ste D200, Lawrenceville, GA 30043. The listed phone number is (678) 731-7545.

What is Mi Kim's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Mi Kim enrolled in Medicare?

Yes. Mi 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.

What insurance does Mi Kim accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Mi Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mi Kim was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.