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ROY KIM D.O.
NPI 1760724843
Family Medicine in Mission Hills, CA

Active since March 26, 2013PECOS Enrolled
11333 SEPULVEDA BLVD, MISSION HILLS, CA 91345(818) 869-7254 Get Directions Write a Review

NPPES record last updated: July 2, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Roy Kim D.o. NPPES

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

ROY KIM D.O. (NPI 1760724843) is an individual family medicine provider in Mission Hills, California, licensed in California (20A14097) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Northridge.

NPPES Registry Identity

NPI1760724843
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROY KIMCredential: D.O.
Location Address11333 SEPULVEDA BLVDMission Hills, CA 91345
Mailing AddressPo Box 9602Mission Hills, CA 91346-9602 · (818) 837-5559 · Fax (818) 792-4793
Phone(818) 869-7254
Sole ProprietorNo
Enumeration DateMarch 26, 2013
Last NPPES UpdateJuly 2, 2018
✔ NPI 1760724843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A14097
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11333 SEPULVEDA BLVD, Mission Hills, CA 91345
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Secondary Practice Location 1

Location 118406 Roscoe BlvdNorthridge, CA 91325-4107 · Phone (818) 885-8500 ext. 2456 · Fax (818) 727-0793

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roy Kim D.o. 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 Reassignments

2

Medicare enrollment records show Roy Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Facey Medical Foundation
11 mi
Internal Medicine
26357 MCBEAN PKWY
Valencia, CA 91355
  • Reassigned Medicare billing, California enrollment
  • 684 clinicians in this Medicare group
NPI 1710031588 (661) 222-2600
Permanente Medical Group Inc
289 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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 91345 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 20

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

SARTHI RAKSHEN SHAH M.D.
Internal Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531
ARMIN TAHOORI M.D.
Hospitalist
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531
DR. HENIE FIALKOFF M.D.
Pediatrics
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 869-7200
JENNIFER ANN SHIELDS RPT.
Physical Therapist
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531
SIMON DARDASHTI M.D.
Anesthesiology
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 869-7726
ROHIT R KEDIA D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531
TRICIA A SCHREINER-DUNCAN P.A.
Physician Assistant
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531
SOURABH SURYADEVARA M.D.
Internal Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531

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 Roy Kim's NPI number?

The NPI number for Roy Kim is 1760724843. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Roy Kim located?

Roy Kim practices at 11333 Sepulveda Blvd, Mission Hills, CA 91345. The listed phone number is (818) 869-7254.

What is Roy Kim's specialty?

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

Is Roy Kim enrolled in Medicare?

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

Which organizations bill Medicare for Roy Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roy Kim reassigns Medicare benefits to 2 organizations: Providence Facey Medical Foundation (Valencia, CA) and Permanente Medical Group Inc (Santa Clara, CA). Each 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 Roy 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 Roy Kim was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.