DR. MARY I KIM M.D.
NPI 1780724435
Physical Medicine & Rehabilitation in Loma Linda, CA
About Dr. Mary I Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARY I KIM M.D. (NPI 1780724435) is an individual physical medicine & rehabilitation provider in Loma Linda, California, licensed in California (119219) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mary I Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Loma Linda, CA 92354
- Reassigned Medicare billing, California enrollment
- 2,584 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.
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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Mary Kim's NPI number?
The NPI number for Mary Kim is 1780724435. It was assigned to this individual provider in the NPPES registry on February 8, 2007.
Where is Mary Kim located?
Mary Kim practices at 11406 Loma Linda Dr Suite 516, Loma Linda, CA 92354. The listed phone number is (909) 558-6277.
What is Mary Kim's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Mary Kim enrolled in Medicare?
Yes. Mary Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Kim reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA). The 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 Mary 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 Mary Kim was last updated on July 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.