DR. XANDER HANJUNE KIM DPM
NPI 1790460335
Podiatrist - Foot & Ankle Surgery in San Francisco, CA
About Dr. Xander Hanjune Kim Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. XANDER HANJUNE KIM DPM (NPI 1790460335) is an individual foot & ankle surgery provider in San Francisco, California, licensed in California (EL7108) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
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 and accepts Medicare assignment
Dr. Xander Hanjune Kim Dpm 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 Reassignment
Medicare enrollment records show Xander Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Concord, CA 94519
- Reassigned Medicare billing, California enrollment
- 66 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.
SAN FRANCISCO, CA 94121
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 Xander Kim's NPI number?
The NPI number for Xander Kim is 1790460335. It was assigned to this individual provider in the NPPES registry on June 20, 2023.
Where is Xander Kim located?
Xander Kim practices at 4150 Clement St, San Francisco, CA 94121. The listed phone number is (415) 221-4810.
What is Xander Kim's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Xander Kim enrolled in Medicare?
Yes. Xander 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 organization bills Medicare for Xander Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Xander Kim reassigns Medicare benefits to Jiva Health, Inc (Concord, 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 Xander 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 Xander Kim was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Xander Hanjune Kim, DPM · NPI 1790460335
Foot & Ankle Surgery provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since June 20, 2023.
## Identity
- **NPI:** 1790460335 (Entity type: Individual)
- **Enumerated:** June 20, 2023
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** EL7108 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4150 CLEMENT ST, San Francisco, CA 94121-1563
- **Phone:** (415) 221-4810
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Jiva Health, Inc (NPI 1285223552, Concord, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1790460335) · Data from the CMS NPPES public registry.