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

Q: 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.

Q: What is Peter Kim's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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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 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 CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

LEE ANNE OSBORN M.D.

Pediatrics