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THERESA KIM M.D.
NPI 1740508209
Pediatrics in Roseville, CA

Active since May 08, 2010PECOS Enrolled
1600 EUREKA RD, ROSEVILLE, CA 95661(916) 784-4000 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 13, 2023, Dec 16, 2021 (2 updates tracked since 2021).

About Theresa Kim M.d. NPPES

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

THERESA KIM M.D. (NPI 1740508209) is an individual pediatrics provider in Roseville, California, licensed in California (A126951) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740508209
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTHERESA KIMCredential: M.D.
Location Address1600 EUREKA RDRoseville, CA 95661-3027
Mailing Address6750 Woodchase DrGranite Bay, CA 95746-9680 · (408) 250-6620
Phone(916) 784-4000
Sole ProprietorNo
Enumeration DateMay 8, 2010
Last NPPES UpdateDecember 13, 20232 updates tracked since enumeration
NPPES CertifiedDecember 10, 2023
✔ NPI 1740508209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A126951
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1600 EUREKA RD, Roseville, CA 95661
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Theresa Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
50 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 95661 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
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. VESNA IVANCIC COCHELL MD
Urology
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
LYNN TUYET NGUYEN PHARM.D
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
MR. BRYCE PHILLIP CARTWRIGHT PHYSICAL THERAPIST
Physical Therapist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4954
QUAN T. NGUYEN MD
Hospitalist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
JAMES H. HEYKES MD
Internal Medicine
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
MS. LINDA ROSE BROWN NP
Nurse Practitioner (Women's Health)
1600 EUREKA RD, WOMEN'S HEALTH , PERMANENTE MEDICAL GROUP
ROSEVILLE, CA 95661
Placer County (916) 784-5003
SCOTT W. ADAMS MD
Pediatrics (Pediatric Hematology-Oncology)
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
CAROL LYNN SCHULZ PHARM.D.
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4184

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 Theresa Kim's NPI number?

The NPI number for Theresa Kim is 1740508209. It was assigned to this individual provider in the NPPES registry on May 8, 2010.

Where is Theresa Kim located?

Theresa Kim practices at 1600 Eureka Rd, Roseville, CA 95661. The listed phone number is (916) 784-4000.

What is Theresa Kim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Theresa Kim enrolled in Medicare?

Yes. Theresa Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theresa Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Kim reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Theresa 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 Theresa Kim was last updated on December 13, 2023. 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.