JIN K. KIM MD
NPI 1760561401
Preventive Medicine - Occupational Medicine in Cupertino, CA

Active since November 03, 2006PECOS Enrolled
10050 N WOLFE RD STE SW1190, CUPERTINO, CA 95014(408) 236-6400 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jin K. Kim Md NPPES

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

JIN K. KIM MD (NPI 1760561401) is an individual occupational medicine provider in Cupertino, California, licensed in California (A62489) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760561401
Entity TypeIndividualMale
Primary Taxonomy2083X0100X
Provider Legal NameJIN K. KIMCredential: MD
Location Address10050 N WOLFE RD STE SW1190Cupertino, CA 95014-2595
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262
Sole ProprietorNo
Enumeration DateNovember 3, 2006
Last NPPES UpdateDecember 6, 2021
✔ NPI 1760561401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
License✔ Licensed in CA · A62489
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
10050 N WOLFE RD STE SW1190, Cupertino, CA 95014

Other Identifiers 1

Medicaid00A624890CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jin K. Kim Md 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 Jin Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

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 95014 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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 8

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

Preventive Medicine (Occupational Medicine)
10050 N WOLFE RD STE SW1190
CUPERTINO, CA 95014
Physical Medicine & Rehabilitation
10050 N WOLFE RD STE SW1190
CUPERTINO, CA 95014
Preventive Medicine (Occupational Medicine)
10050 N WOLFE RD STE SW1190
CUPERTINO, CA 95014
Preventive Medicine (Occupational Medicine)
10050 N WOLFE RD STE SW1190
CUPERTINO, CA 95014
Acupuncturist
10050 N WOLFE RD STE SW1190
CUPERTINO, CA 95014
Physical Medicine & Rehabilitation
10050 N WOLFE RD STE SW1190
CUPERTINO, CA 95014
Physical Therapist
10050 N WOLFE RD STE SW1190
CUPERTINO, CA 95014
Preventive Medicine (Occupational Medicine)
10050 N WOLFE RD STE SW1190
CUPERTINO, CA 95014

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 Jin Kim's NPI number?

The NPI number for Jin Kim is 1760561401. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Jin Kim located?

Jin Kim practices at 10050 N Wolfe Rd Ste Sw1190, Cupertino, CA 95014. The listed phone number is (408) 236-6400.

What is Jin Kim's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Jin Kim enrolled in Medicare?

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

Which organization bills Medicare for Jin Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jin Kim reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Jin 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 Jin Kim was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.