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NATHAN JONATHAN KIM MD
NPI 1780203042
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since April 15, 2020PECOS EnrolledAccepts Medicare Assignment
90.25/100
CMS Quality Rating
1001 PORTRERO AVE BLDG 80-83, SAN FRANCISCO, CA 94110(415) 206-5252 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Nathan Jonathan Kim Md NPPES

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

NATHAN JONATHAN KIM MD (NPI 1780203042) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2020).

NPPES Registry Identity

NPI1780203042
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNATHAN JONATHAN KIMCredential: MD
Location Address1001 PORTRERO AVE BLDG 80-83San Francisco, CA 94110-3518
Mailing Address173 Haight St Apt 103San Francisco, CA 94102-5706 · (510) 393-2372
Phone(415) 206-5252
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2020
Enumeration DateApril 15, 2020
NPPES CertifiedApril 15, 2020
✔ NPI 1780203042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1001 PORTRERO AVE BLDG 80-83, San Francisco, CA 94110
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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 and accepts Medicare assignment

Nathan Jonathan 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 ID1951796994
PECOS Enrollment IDI20231128001708
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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
130 services73 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.
89 services58 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
32 services24 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
31 services31 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services27 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
14 services14 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.03
Promoting Interoperability99
Improvement Activities40
Cost81.64

Other Providers at the Same Location NPPES

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

KAREN JIAWEN ZHANG
Student in an Organized Health Care Education/Training Program
1001 PORTRERO AVE BLDG 80-83
SAN FRANCISCO, CA 94110
San Francisco County (628) 206-5252

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 Nathan Kim's NPI number?

The NPI number for Nathan Kim is 1780203042. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Nathan Kim located?

Nathan Kim practices at 1001 Portrero Ave Bldg 80-83, San Francisco, CA 94110. The listed phone number is (415) 206-5252.

What is Nathan Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nathan Kim enrolled in Medicare?

Yes. Nathan 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.

When was this NPI record last updated?

The NPPES record for Nathan Kim was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.