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PETER KIM M.D.
NPI 1760471593
Family Medicine in Indianapolis, IN

Active since October 14, 2005PECOS Enrolled
901 SHELBY ST, INDIANAPOLIS, IN 46203(317) 488-2040(317) 488-2051 Get Directions Write a Review

NPPES record last updated: September 8, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peter Kim M.d. NPPES

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

PETER KIM M.D. (NPI 1760471593) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (01050900A) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of University Of Cincinnati College Of Medicine (1998).

NPPES Registry Identity

NPI1760471593
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePETER KIMCredential: M.D.
Location Address901 SHELBY STIndianapolis, IN 46203-1151
Mailing Address3401 E Raymond StIndianapolis, IN 46203-4744 · (317) 788-9769 · Fax (317) 781-4868
Phone(317) 488-2040
Fax(317) 488-2051
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1998
Enumeration DateOctober 14, 2005
Last NPPES UpdateSeptember 8, 2011
✔ NPI 1760471593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01050900A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
901 SHELBY ST, Indianapolis, IN 46203
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Other Identifiers 3

Medicaid200337610IN
Medicare UPINH40117IN
Medicare PINM400022011IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8921122698
PECOS Enrollment IDI20100901000730
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 Peter Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthnet, Inc.
3.9 mi
Federally Qualified Health Center (FQHC)
2855 N KEYSTONE AVE, STE 100
Indianapolis, IN 46218
  • Reassigned Medicare billing, Indiana enrollment
  • 95 clinicians in this Medicare group
NPI 1780634964 (317) 957-2300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46203 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers11 claims27 services$5.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$69.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

RUBY M DEOLEO PIERRE FNP
Nurse Practitioner (Family)
901 SHELBY ST
INDIANAPOLIS, IN 46203
Marion County (317) 957-2611
DONALD HENRY TRAINOR JR. M.D.
Internal Medicine
901 SHELBY ST
INDIANAPOLIS, IN 46203
Marion County (317) 488-2040
ALEXIS HUCKLEBERRY
Nurse Practitioner (Family)
901 SHELBY ST
INDIANAPOLIS, IN 46203
Marion County (317) 957-2070
LEE ANNE OSBORN M.D.
Pediatrics
901 SHELBY ST
INDIANAPOLIS, IN 46203
Marion County (317) 488-2040
MR. MARK EDWARD LINCKS LMHC
Counselor (Mental Health)
901 SHELBY ST
INDIANAPOLIS, IN 46203
Marion County (317) 957-2070
ADRIENNE CLAIRE TABB PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
901 SHELBY ST
INDIANAPOLIS, IN 46203
Marion County (317) 957-2200
MARGARET E FEEMSTER M.D.
Pediatrics
901 SHELBY ST
INDIANAPOLIS, IN 46203
Marion County (317) 488-2040
PAIGE E MCDANIEL CNM
Advanced Practice Midwife
901 SHELBY ST
INDIANAPOLIS, IN 46203
Marion County (317) 488-2040

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's NPI number?

The NPI number for Peter Kim is 1760471593. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Peter Kim located?

Peter Kim practices at 901 Shelby St, Indianapolis, IN 46203. The listed phone number is (317) 488-2040.

What is Peter Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Peter Kim enrolled in Medicare?

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

Which organization bills Medicare for Peter Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Kim reassigns Medicare benefits to Healthnet, Inc. (Indianapolis, IN). 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 Peter Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Kim accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Peter 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.

Is Peter Kim affiliated with any hospitals?

According to CMS data, Peter Kim is affiliated with Indiana University Health and Franciscan Health Indianapolis.

When was this NPI record last updated?

The NPPES record for Peter Kim was last updated on September 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.