MR. RONALD SUNGSOO KIM FNP-BC
NPI 1871248286
Nurse Practitioner - Family in Tustin, CA

Q: What is Ronald Kim's NPI number?

The NPI number for Ronald Kim is 1871248286. It was assigned to this individual provider in the NPPES registry on February 14, 2022.

Q: What is Ronald Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ronald Kim was last updated on October 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 14, 2022PECOS Enrolled

1 HOPE DR, TUSTIN, CA 92782(713) 247-0300 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 2, 2022, Feb 27, 2022, Feb 14, 2022 (3 updates tracked since 2022).

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About Mr. Ronald Sungsoo Kim Fnp-bc NPPES

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

MR. RONALD SUNGSOO KIM FNP-BC (NPI 1871248286) is an individual family provider in Tustin, California, licensed in California (95019960) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871248286

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. RONALD SUNGSOO KIMCredential: FNP-BC

Location Address1 HOPE DRTustin, CA 92782-0221

Mailing Address1 Hope DrTustin, CA 92782-0221 · (713) 247-0300

Phone(713) 247-0300

Sole ProprietorYes

Enumeration DateFebruary 14, 2022

Last NPPES UpdateOctober 23, 20243 updates tracked since enumeration

NPPES CertifiedOctober 23, 2024

✔ NPI 1871248286 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 · 95019960

1 HOPE DR, Tustin, CA 92782

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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 (PECOS)

Mr. Ronald Sungsoo Kim Fnp-bc 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 92782 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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