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KENNETH KIM M.D
NPI 1780942375
Emergency Medicine in Orange, CA

Active since May 02, 2012PECOS EnrolledAccepts Medicare Assignment
101 THE CITY DR S BLDG 200, ORANGE, CA 92868(714) 456-5922 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Kim M.d NPPES

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

KENNETH KIM M.D (NPI 1780942375) is an individual emergency medicine provider in Orange, California, licensed in California (A129890) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1780942375
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKENNETH KIMCredential: M.D
Location Address101 THE CITY DR S BLDG 200Orange, CA 92868-3201
Mailing Address13212 Magnolia St Apt B6Garden Grove, CA 92844-1333 · (314) 369-8466
Phone(714) 456-5922
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 2, 2012
Last NPPES UpdateJanuary 18, 2022
NPPES CertifiedJanuary 18, 2022
✔ NPI 1780942375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A129890
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
101 THE CITY DR S BLDG 200, Orange, CA 92868
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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

Kenneth Kim M.d 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 ID9830416825
PECOS Enrollment IDI20150401001324
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 92868 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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

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

MR. WILLIAM TAN NGUYEN M.D.
Internal Medicine
101 THE CITY DR S BLDG 200, SUITE 720 RT. 1
ORANGE, CA 92868
Orange County (408) 826-2362

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 Kenneth Kim's NPI number?

The NPI number for Kenneth Kim is 1780942375. It was assigned to this individual provider in the NPPES registry on May 2, 2012.

Where is Kenneth Kim located?

Kenneth Kim practices at 101 The City Dr S Bldg 200, Orange, CA 92868. The listed phone number is (714) 456-5922.

What is Kenneth Kim's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kenneth Kim enrolled in Medicare?

Yes. Kenneth 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 Kenneth Kim was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.