IAN KIM MD
NPI 1760914642
Family Medicine in Davis, CA

Q: What is Ian Kim's NPI number?

The NPI number for Ian Kim is 1760914642. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Q: What is Ian 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 Ian Kim was last updated on April 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 30, 2017PECOS Enrolled

2051 JOHN JONES RD, DAVIS, CA 95616(530) 758-2060(530) 758-8490 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2020, Mar 30, 2017 (2 updates tracked since 2017).

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About Ian Kim Md NPPES

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

IAN KIM MD (NPI 1760914642) is an individual family medicine provider in Davis, California, licensed in California (A157098) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760914642

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameIAN KIMCredential: MD

Location Address2051 JOHN JONES RDDavis, CA 95616-9701

Mailing Address2051 John Jones RdDavis, CA 95616-9701 · (530) 758-2060 · Fax (530) 758-8490

Phone(530) 758-2060

Fax(530) 758-8490

Sole ProprietorNo

Enumeration DateMarch 30, 2017

Last NPPES UpdateApril 23, 20252 updates tracked since enumeration

NPPES CertifiedApril 23, 2025

✔ NPI 1760914642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A157098

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.

2051 JOHN JONES RD, Davis, CA 95616

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ian 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95616 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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.