KWANG KIM MD, MBA
NPI 1871122812
Surgery - Surgical Critical Care in Riverside, CA
About Kwang Kim Md, Mba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KWANG KIM MD, MBA (NPI 1871122812) is an individual surgical critical care provider in Riverside, California, licensed in California (A210285) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2020).
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
Kwang Kim Md, Mba 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 Kwang Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverside, CA 92505
- Reassigned Medicare billing, California enrollment
- 114 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERSIDE, CA 92505
RIVERSIDE, CA 92505
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 Kwang Kim's NPI number?
The NPI number for Kwang Kim is 1871122812. It was assigned to this individual provider in the NPPES registry on April 2, 2020.
Where is Kwang Kim located?
Kwang Kim practices at 4234 Riverwalk Pkwy Ste 120, Riverside, CA 92505. The listed phone number is (951) 373-5800.
What is Kwang Kim's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.
Is Kwang Kim enrolled in Medicare?
Yes. Kwang 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 Kwang Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kwang Kim reassigns Medicare benefits to El-Bershawi Medical Corp (Riverside, 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 Kwang 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 Kwang Kim was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.
# Kwang Kim, MD, MBA · NPI 1871122812
Surgical Critical Care physician in Riverside, California. Individual provider, active in the CMS NPPES registry since April 2, 2020.
## Identity
- **NPI:** 1871122812 (Entity type: Individual)
- **Enumerated:** April 2, 2020
- **Primary specialty:** Surgery - Surgical Critical Care · taxonomy 2086S0102X
- **State license:** A210285 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4234 RIVERWALK PKWY STE 120, Riverside, CA 92505-3304
- **Phone:** (951) 373-5800 · **Fax:** (951) 344-8303
## 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:** El-Bershawi Medical Corp (NPI 1386813103, Riverside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Geffen School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** October 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1871122812) · Data from the CMS NPPES public registry.