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MISS CAROLINE THERESA KIM
NPI 1790461952
Nurse Practitioner - Family in San Diego, CA

Active since June 23, 2023PECOS EnrolledAccepts Medicare Assignment
8010 FROST ST, SAN DIEGO, CA 92123(858) 499-2600 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Caroline Theresa Kim NPPES

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

MISS CAROLINE THERESA KIM (NPI 1790461952) is an individual family provider in San Diego, California, licensed in California (95025353) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790461952
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS CAROLINE THERESA KIM
Location Address8010 FROST STSan Diego, CA 92123-2778
Mailing Address3131 Cauby St Apt 20San Diego, CA 92110-4622 · (323) 351-6892
Phone(858) 499-2600
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 23, 2023
NPPES CertifiedJune 23, 2023
✔ NPI 1790461952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95025353
8010 FROST ST, San Diego, CA 92123
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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

Miss Caroline Theresa Kim 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 ID5597119321
PECOS Enrollment IDI20230928000751
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 4

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
122 services31 patients
Strapping, unna boot 29580
An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.
77 services15 patients
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.
64 services22 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 20

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

DR. ROBERT J MANLY M.D.
Surgery
8010 FROST ST
SAN DIEGO, CA 92123
San Diego County (858) 939-8350
DR. ROBERT M. ADAMSON M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
8010 FROST ST, SUITE 408
SAN DIEGO, CA 92123
San Diego County (858) 939-7471
DR. ALLAN GAMAGAMI M.D.
Surgery
8010 FROST ST, 2ND FLR
SAN DIEGO, CA 92123
San Diego County (858) 499-2600
DR. LISA S MILLER MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
8010 FROST ST, SUITE 406
SAN DIEGO, CA 92123
San Diego County (858) 467-1899
DR. SUSAN BOIKO MD
Dermatology (Pediatric Dermatology)
8010 FROST ST, STE 602
SAN DIEGO, CA 92123
San Diego County (858) 966-6795
CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF NEURO
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
8010 FROST ST, SUITE 510
SAN DIEGO, CA 92123
San Diego County (858) 966-5819
SAN DIEGO CENTER FOR REPRODUCTIVE SURGERY
Clinic/Center (Ambulatory Fertility Facility)
8010 FROST ST, PLAZA LEVEL
SAN DIEGO, CA 92123
San Diego County (858) 505-5500
COLLEEN P MCNALLY MD
Obstetrics & Gynecology
8010 FROST ST, #301
SAN DIEGO, CA 92123
San Diego County (858) 292-7200

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 Caroline Kim's NPI number?

The NPI number for Caroline Kim is 1790461952. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Where is Caroline Kim located?

Caroline Kim practices at 8010 Frost St, San Diego, CA 92123. The listed phone number is (858) 499-2600.

What is Caroline Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Caroline Kim enrolled in Medicare?

Yes. Caroline 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 Caroline Kim was last updated on June 23, 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.