AHJIN KIM
NPI 1811641970
Nurse Anesthetist, Certified Registered in Davenport, FL

Active since February 08, 2022Accepts Medicare Assignment
1012 LAGUNA LOOP UNIT 304, DAVENPORT, FL 33896(253) 880-8916 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ahjin Kim NPPES

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

AHJIN KIM (NPI 1811641970) is an individual nurse anesthetist, certified registered in Davenport, Florida, licensed in Florida (CRNA9509251) and active in the NPI registry since February 2022. She is affiliated with Adventhealth Heart Of Florida and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811641970
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameAHJIN KIM
Location Address1012 LAGUNA LOOP UNIT 304Davenport, FL 33896-5699
Mailing Address1012 Laguna Loop Unit 304Davenport, FL 33896-5699 · (253) 880-8916
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 8, 2022
NPPES CertifiedFebruary 8, 2022
✔ NPI 1811641970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in FL · CRNA9509251
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN60533404 (WA), RN9509251 (FL)
1012 LAGUNA LOOP UNIT 304, Davenport, FL 33896

Accepted Insurance

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

Ahjin 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 ID5890174510
PECOS Enrollment IDI20220625000615

Medicare Billing Reassignments

4

Medicare enrollment records show Ahjin Kim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
2906 17TH ST
Saint Cloud, FL 34769
  • Reassigned Medicare billing, Florida enrollment
  • 530 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
100 S ORANGE AVE STE 800
Orlando, FL 32801
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
7974 LAKE UNDERHILL RD
Orlando, FL 32822
  • Reassigned Medicare billing, Florida enrollment
  • 100 clinicians in this Medicare group
Anesthesiology
28 N PALAFOX ST
Pensacola, FL 32502
  • Reassigned Medicare billing, Florida enrollment
  • 768 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.

Areas of Expertise CMS Part B claims 3

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
15 services15 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
15 services15 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100137
Location40100 Hwy 27Davenport, FL 33837 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33896 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ahjin Kim's NPI number?

The NPI number for Ahjin Kim is 1811641970. It was assigned to this individual provider in the NPPES registry on February 8, 2022.

Where is Ahjin Kim located?

Ahjin Kim practices at 1012 Laguna Loop Unit 304, Davenport, FL 33896. The listed phone number is (253) 880-8916.

What is Ahjin Kim's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Ahjin Kim enrolled in Medicare?

Yes. Ahjin 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 Ahjin Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ahjin Kim reassigns Medicare benefits to 4 organizations: Anesthesiologists Of Greater Orlando Inc (Saint Cloud, FL), Innovative Medical Staffing Solutions Inc (Orlando, FL), Guide Anesthesia Fl LLC (Orlando, FL) and Ams National LLC (Pensacola, FL). 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 Ahjin Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ahjin Kim accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Ahjin Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ahjin Kim affiliated with any hospitals?

According to CMS data, Ahjin Kim is affiliated with Adventhealth Heart Of Florida.

When was this NPI record last updated?

The NPPES record for Ahjin Kim was last updated on February 8, 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.