RYAN KIM D.O.
NPI 1770739716
Family Medicine in Roseville, CA

Active since August 11, 2008PECOS EnrolledAccepts Medicare Assignment
1620 E ROSEVILLE PKWY, ROSEVILLE, CA 95661(916) 865-1400(845) 231-5489 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2025, Dec 21, 2021 (2 updates tracked since 2021).

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

NPI1770739716
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRYAN KIMCredential: D.O.
Location Address1620 E ROSEVILLE PKWYRoseville, CA 95661-3995
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · Fax (845) 231-5489
Fax(845) 231-5489
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 11, 2008
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
NPI 1770739716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 259592
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.
1620 E ROSEVILLE PKWY, Roseville, CA 95661

Other Identifiers 1

Medicaid03359271NY

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID3870761885
PECOS Enrollment IDI20150826002691
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.

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.

Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
18 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services15 patients

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.

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.

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.

Family Medicine
1620 E ROSEVILLE PKWY
ROSEVILLE, CA 95661
Internal Medicine (Cardiovascular Disease)
1620 E ROSEVILLE PKWY
ROSEVILLE, CA 95661
Social Worker (Clinical)
1620 E ROSEVILLE PKWY
ROSEVILLE, CA 95661
Nurse Practitioner
1620 E ROSEVILLE PKWY, STE 110
ROSEVILLE, CA 95661
Family Medicine
1620 E ROSEVILLE PKWY
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.

What insurance does Ryan Kim accept?

Health plans from Molina Healthcare list Ryan Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 14 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.