DR. PETER EUSUK KIM DMD
NPI 1821475369
Dentist - General Practice in El Paso, TX

Q: What is Peter Kim's NPI number?

The NPI number for Peter Kim is 1821475369. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Q: What is Peter Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Peter Kim was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 05, 2015PECOS Enrolled

4649 LOMA DEL SUR DR, APT 3307, EL PASO, TX 79934(216) 526-2174 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Peter Eusuk Kim Dmd NPPES

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

DR. PETER EUSUK KIM DMD (NPI 1821475369) is an individual general practice provider in El Paso, Texas, licensed in Texas (30827) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821475369

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PETER EUSUK KIMCredential: DMD

Location Address4649 LOMA DEL SUR DR, APT 3307El Paso, TX 79934-3350

Mailing Address5340 El Paso Dr, Suite KEl Paso, TX 79905-2837 · (915) 781-7725 · Fax (915) 779-3387

Phone(216) 526-2174

Sole ProprietorNo

Enumeration DateMay 5, 2015

✔ NPI 1821475369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 30827

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4649 LOMA DEL SUR DR, El Paso, TX 79934

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter Eusuk Kim Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 79934 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 Peter Kim's NPI number?

The NPI number for Peter Kim is 1821475369. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Where is Peter Kim located?

Peter Kim practices at 4649 Loma Del Sur Dr Apt 3307, El Paso, TX 79934. The listed phone number is (216) 526-2174.

What is Peter Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Peter Kim enrolled in Medicare?

Yes. Peter Kim is registered in the Medicare PECOS enrollment system.

What insurance does Peter Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Peter 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.

When was this NPI record last updated?

The NPPES record for Peter Kim was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.