MICHELLE A KIM MD
NPI 1801982343
Family Medicine in Incline Village, NV
About Michelle A Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE A KIM MD (NPI 1801982343) is an individual family medicine provider in Incline Village, Nevada, licensed in California (A81149) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and maintains a secondary practice location in Truckee.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Michelle A 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.
Medicare Billing Reassignments
2Medicare enrollment records show Michelle Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Truckee, CA 96161
- Reassigned Medicare billing, California enrollment
- 129 clinicians in this Medicare group
Portola, CA 96122
- Reassigned Medicare billing, California enrollment
- 58 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Renown Regional Medical Center
Acute Care Hospitals · Reno, NVRenown South Meadows Medical Center
Acute Care Hospitals · Reno, NVIncline Village Community Hospital
Critical Access Hospitals · Incline Village, NVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89451 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INCLINE VILLAGE, NV 89451
INCLINE VILLAGE, NV 89451
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 Michelle Kim's NPI number?
The NPI number for Michelle Kim is 1801982343. It was assigned to this individual provider in the NPPES registry on October 4, 2006.
Where is Michelle Kim located?
Michelle Kim practices at 880 Alder Ave, Incline Village, NV 89451. The listed phone number is (775) 831-6200.
What is Michelle Kim's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Michelle Kim enrolled in Medicare?
Yes. Michelle 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 organizations bill Medicare for Michelle Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Kim reassigns Medicare benefits to 2 organizations: Tahoe Forest Hospital District (Truckee, CA) and Eastern Plumas Health Care District (Portola, CA). Each 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 Michelle Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Michelle Kim affiliated with any hospitals?
According to CMS data, Michelle Kim is affiliated with Renown Regional Medical Center, Renown South Meadows Medical Center and Incline Village Community Hospital.
When was this NPI record last updated?
The NPPES record for Michelle Kim was last updated on March 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.
# Michelle A Kim, MD · NPI 1801982343
Family Medicine physician in Incline Village, Nevada. Individual provider, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1801982343 (Entity type: Individual)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A81149 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 880 ALDER AVE, Incline Village, NV 89451-8335
- **Phone:** (775) 831-6200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Tahoe Forest Hospital District (NPI 1538689583, Truckee, CA); Eastern Plumas Health Care District (NPI 1245236850, Portola, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Davis School Of Medicine, class of 2001
## Record status
- **NPPES last updated:** March 23, 2023
- **Other identifiers:** Medicaid 00A811490 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1801982343) · Data from the CMS NPPES public registry.