TAE EUNG J KIM M.D.
NPI 1730108689
Emergency Medicine in Orange, CA
About Tae Eung J Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAE EUNG J KIM M.D. (NPI 1730108689) is an individual emergency medicine provider in Orange, California, licensed in California (A77385) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Corona, and is a graduate of University Of Michigan Medical School (2000).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Tae Eung J 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.
Medicare Billing Reassignments
3Medicare enrollment records show Tae Eung Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 219 clinicians in this Medicare group
Fullerton, CA 92835
- Reassigned Medicare billing, California enrollment
- 52 clinicians in this Medicare group
Corona, CA 92882
- Reassigned Medicare billing, California enrollment
- 114 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92868 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.
ORANGE, CA 92868
ORANGE, CA 92868
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 Tae Eung Kim's NPI number?
The NPI number for Tae Eung Kim is 1730108689. It was assigned to this individual provider in the NPPES registry on July 19, 2006.
Where is Tae Eung Kim located?
Tae Eung Kim practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (800) 465-3203.
What is Tae Eung Kim's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Tae Eung Kim enrolled in Medicare?
Yes. Tae Eung 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.
Which organizations bill Medicare for Tae Eung Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tae Eung Kim reassigns Medicare benefits to 3 organizations: Regents Of The University Of (Orange, CA), St Jude Emergency Medical Group Inc (Fullerton, CA) and Corona Regional Emergency Medical Associates Inc (Corona, 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 Tae Eung Kim'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 Tae Eung Kim was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tae Eung J Kim, M.D. · NPI 1730108689
Emergency Medicine physician in Orange, California. Individual provider, active in the CMS NPPES registry since July 19, 2006.
## Identity
- **NPI:** 1730108689 (Entity type: Individual)
- **Enumerated:** July 19, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A77385 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 THE CITY DR S, Orange, CA 92868-3201
- **Phone:** (800) 465-3203
## 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): Regents Of The University Of (NPI 1154379394, Orange, CA); St Jude Emergency Medical Group Inc (NPI 1720190804, Fullerton, CA); Corona Regional Emergency Medical Associates Inc (NPI 1134629298, Corona, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 2000
## Record status
- **NPPES last updated:** July 31, 2024
- **Other identifiers:** Medicaid 00A773850 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1730108689) · Data from the CMS NPPES public registry.