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IVAN KIM MD
NPI 1760644843
Hospitalist in San Marino, CA

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
2875 SHEFFIELD RD, SAN MARINO, CA 91108(909) 725-1135 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ivan Kim Md NPPES

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

IVAN KIM MD (NPI 1760644843) is an individual hospitalist provider in San Marino, California, licensed in California (A116735) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2008).

NPPES Registry Identity

NPI1760644843
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameIVAN KIMCredential: MD
Location Address2875 SHEFFIELD RDSan Marino, CA 91108-3029
Mailing Address2875 Sheffield RdSan Marino, CA 91108-3029 · (909) 725-1135
Phone(909) 725-1135
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2008
Enumeration DateJune 30, 2008
Last NPPES UpdateDecember 8, 2021
✔ NPI 1760644843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CA · A116735
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
2875 SHEFFIELD RD, San Marino, CA 91108
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ivan 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 ID6507038981
PECOS Enrollment IDI20111006000519
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 Ivan Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
3.2 mi
Health Maintenance Organization
3600 ROSEMEAD BLVD
Rosemead, CA 91770
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group
NPI 1942787114 (877) 608-0044

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services11 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91108 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Ivan Kim's NPI number?

The NPI number for Ivan Kim is 1760644843. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Ivan Kim located?

Ivan Kim practices at 2875 Sheffield Rd, San Marino, CA 91108. The listed phone number is (909) 725-1135.

What is Ivan Kim's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ivan Kim enrolled in Medicare?

Yes. Ivan 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.

Which organization bills Medicare for Ivan Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivan Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Rosemead, 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 Ivan 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 Ivan Kim was last updated on December 8, 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.