PETER KIM MD INC
NPI 1760411946
Psychiatry & Neurology - Neurology in Simi Valley, CA
About Peter Kim Md Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER KIM MD INC (NPI 1760411946) is a healthcare organization registered as a neurology in Simi Valley, California and active in the NPI registry since July 2006. The organization lists Peter K Kim, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 6
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peter Kim Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Peter Kim MD Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Peter Kim MD Inc's NPI number?
The NPI number for Peter Kim MD Inc is 1760411946. It was assigned to this organization in the NPPES registry on July 1, 2006.
Where is Peter Kim MD Inc located?
Peter Kim MD Inc is located at 1195 Roadrunner Way, Simi Valley, CA 93065. The listed phone number is (805) 579-8892.
What is Peter Kim MD Inc's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Peter Kim MD Inc enrolled in Medicare?
Yes. Peter Kim MD Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peter Kim MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Peter Kim MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Peter Kim MD Inc was last updated on February 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Peter Kim Md Inc · NPI 1760411946
Neurology organization in Simi Valley, California. Organization record, active in the CMS NPPES registry since July 1, 2006.
## Identity
- **NPI:** 1760411946 (Entity type: Organization)
- **Enumerated:** July 1, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** Peter Kim, PRESIDENT
## Practice location
- **Address:** 1195 ROADRUNNER WAY, Simi Valley, CA 93065-1210
- **Phone:** (805) 579-8892 · **Fax:** (805) 579-8951
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Neurology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2013
- **Other identifiers:** Medicare ID-Type Unspecified A67819 (CA); Medicare PIN W20748 (CA); Medicare UPIN H42518 (CA); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1760411946) · Data from the CMS NPPES public registry.