TAESOO KIM MD
NPI 1740742055
Internal Medicine - Nephrology in Tucson, AZ

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment
1625 N CAMPBELL AVE, TUCSON, AZ 85719(520) 694-0111(520) 694-0127 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2026, Nov 24, 2025, Jan 7, 2025 and 1 more (4 updates tracked since 2019).

About Taesoo Kim Md NPPES

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

TAESOO KIM MD (NPI 1740742055) is an individual nephrology provider in Tucson, Arizona, licensed in Arizona (76485) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Creighton University School Of Medicine (2019).

NPPES Registry Identity

NPI1740742055
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameTAESOO KIMCredential: MD
Location Address1625 N CAMPBELL AVETucson, AZ 85719-4330
Mailing Address1625 N Campbell AveTucson, AZ 85719-4330 · (520) 694-0111 · Fax (520) 694-0127
Fax(520) 694-0127
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2019
Enumeration DateApril 4, 2019
Last NPPES UpdateMarch 10, 20264 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
NPI 1740742055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in AZ · 76485
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1625 N CAMPBELL AVE, Tucson, AZ 85719

Secondary Practice Locations 2

Location 12800 E Ajo WayTucson, AZ 85713-6204 · Phone (520) 874-2778 · Fax (520) 874-3456
Location 21141 S La Canada DrGreen Valley, AZ 85614-1945 · Phone (520) 694-3030 · Fax (520) 694-3055

Accepted 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

Taesoo Kim 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.

PECOS PAC ID2769711621
PECOS Enrollment IDI20250613001425
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 85719 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Pediatrics
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pediatrics
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Physician Assistant
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Emergency Medicine
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Emergency Medical Technician, Paramedic
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Anesthesiology
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Radiology (Diagnostic Radiology)
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Emergency Medicine
1625 N CAMPBELL AVE
TUCSON, AZ 85719

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 Taesoo Kim's NPI number?

The NPI number for Taesoo Kim is 1740742055. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Taesoo Kim located?

Taesoo Kim practices at 1625 N Campbell Ave, Tucson, AZ 85719. The listed phone number is (520) 694-0111.

What is Taesoo Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Taesoo Kim enrolled in Medicare?

Yes. Taesoo 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 Taesoo Kim accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Taesoo 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 Taesoo Kim was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.