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DR. CHANG O. KIM M.D.
NPI 1720152507
Orthopaedic Surgery in Oakland, CA

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
80 GRAND AVE, 5TH FLOOR, OAKLAND, CA 94612(510) 451-6266(510) 451-6260 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Chang O. Kim M.d. NPPES

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

DR. CHANG O. KIM M.D. (NPI 1720152507) is an individual orthopaedic surgery provider in Oakland, California, licensed in California (A82792) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2001).

NPPES Registry Identity

NPI1720152507
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. CHANG O. KIMCredential: M.D.
Location Address80 GRAND AVE, 5TH FLOOROakland, CA 94612-3725
Mailing Address80 Grand Ave, 5th FloorOakland, CA 94612-3725 · (510) 451-6266 · Fax (510) 451-6260
Phone(510) 451-6266
Fax(510) 451-6260
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2001
Enumeration DateNovember 20, 2006
Last NPPES UpdateDecember 2, 2021
NPPES CertifiedDecember 2, 2021
✔ NPI 1720152507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · A82792
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
80 GRAND AVE, Oakland, CA 94612
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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

Dr. Chang O. Kim M.d. 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 ID3173564069
PECOS Enrollment IDI20050520000663
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 94612 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 18

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

JEFFREY ADAM MANN, M. D., INC.
Orthopaedic Surgery
80 GRAND AVE, 5TH FLOOR
OAKLAND, CA 94612
Alameda County (510) 451-6266
DR. GLEN K. LAU M.D.
Plastic Surgery
80 GRAND AVE, STE. 810
OAKLAND, CA 94612
Alameda County (510) 451-6950
GLEN KEE LAU, MD INC
Plastic Surgery
80 GRAND AVE, STE. 810
OAKLAND, CA 94612
Alameda County (510) 451-6950
SARAH LANGBEIN PA
Physician Assistant
80 GRAND AVE
OAKLAND, CA 94612
Alameda County (510) 238-1200
XIANG FEI LAC
Case Manager/Care Coordinator
80 GRAND AVE, SUITE 610
OAKLAND, CA 94612
Alameda County (510) 835-0235
DR. STEVEN GRAY PASCAL M.D.
Ophthalmology
80 GRAND AVE, SUITE 700
OAKLAND, CA 94612
Alameda County (510) 893-4318
WEBSTER SURGERY CENTER, LP
Clinic/Center (Ambulatory Surgical)
80 GRAND AVE, SUITE 250
OAKLAND, CA 94612
Alameda County (510) 451-1875
OAKLAND SLEEP CENTER
Clinic/Center (Sleep Disorder Diagnostic)
80 GRAND AVE, SUITE 200
OAKLAND, CA 94612
Alameda County (510) 350-4030

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 Chang Kim's NPI number?

The NPI number for Chang Kim is 1720152507. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Chang Kim located?

Chang Kim practices at 80 Grand Ave 5th Floor, Oakland, CA 94612. The listed phone number is (510) 451-6266.

What is Chang Kim's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Chang Kim enrolled in Medicare?

Yes. Chang 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 Chang Kim was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.