RYAN KIM D.O.
NPI 1770739716
Family Medicine in Roseville, CA
About Ryan Kim D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN KIM D.O. (NPI 1770739716) is an individual family medicine provider in Roseville, California, licensed in New York (259592) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Ryan Kim D.o. 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.
Medicare Billing Reassignments
5Medicare enrollment records show Ryan Kim reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sacramento, CA 95816
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Sutter Valley Medical Foundation
- 3,056 clinicians in this Medicare group
Sacramento, CA 95816
- Reassigned Medicare billing, California enrollment
- 4,479 clinicians in this Medicare group
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Bakersfield, CA 93312
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Portland, OR 97232
- Reassigned Medicare billing, Washington enrollment
- 2,534 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEVILLE, CA 95661
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 Ryan Kim's NPI number?
The NPI number for Ryan Kim is 1770739716. It was assigned to this individual provider in the NPPES registry on August 11, 2008.
Where is Ryan Kim located?
Ryan Kim practices at 1620 E Roseville Pkwy, Roseville, CA 95661. The listed phone number is (916) 865-1400.
What is Ryan Kim's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ryan Kim enrolled in Medicare?
Yes. Ryan 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 organizations bill Medicare for Ryan Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Kim reassigns Medicare benefits to 5 organizations: Sutter Medical Foundation (Sacramento, CA), Sutter Bay Medical Foundation (Sacramento, CA), Permanente Medical Group Inc (Stockton, CA), Southern California Permanente Medical Group (Bakersfield, CA) and Kaiser Foundation Health Plan Of The Northwest (Portland, OR). 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 Ryan 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 Ryan Kim was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Ryan Kim, D.O. · NPI 1770739716
Family Medicine physician in Roseville, California. Individual provider, active in the CMS NPPES registry since August 11, 2008.
## Identity
- **NPI:** 1770739716 (Entity type: Individual)
- **Enumerated:** August 11, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 259592 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1620 E ROSEVILLE PKWY, Roseville, CA 95661-3995
- **Phone:** (916) 865-1400 · **Fax:** (845) 231-5489
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Sutter Medical Foundation (NPI 1942524095, Sacramento, CA); Sutter Bay Medical Foundation (NPI 1003267196, Sacramento, CA); Permanente Medical Group Inc (NPI 1548343510, Stockton, CA); Southern California Permanente Medical Group (NPI 1316572753, Bakersfield, CA); Kaiser Foundation Health Plan Of The Northwest (NPI 1871848457, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** May 27, 2025
- **Other identifiers:** Medicaid 03359271 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1770739716) · Data from the CMS NPPES public registry.