ELLEN H KIM MD
NPI 1912069329
Family Medicine in Philadelphia, PA
About Ellen H Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN H KIM MD (NPI 1912069329) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD430049) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Other Names 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
Ellen H 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 Ellen Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19149
- Reassigned Medicare billing, Pennsylvania enrollment
- 58 clinicians in this Medicare group
Newtown, PA 18940
- Reassigned Medicare billing, Pennsylvania enrollment
- 5 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19149 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19149
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 Ellen Kim's NPI number?
The NPI number for Ellen Kim is 1912069329. It was assigned to this individual provider in the NPPES registry on December 14, 2006. The provider is also known as Ellen S Hwang MD.
Where is Ellen Kim located?
Ellen Kim practices at 6431 Sackett St, Philadelphia, PA 19149. The listed phone number is (267) 448-4908.
What is Ellen Kim's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ellen Kim enrolled in Medicare?
Yes. Ellen 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 Ellen Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Kim reassigns Medicare benefits to 2 organizations: Dedicated Pennsylvania Holding, LLC (Philadelphia, PA) and Wrightstown Family Medicine PC (Newtown, PA). 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 Ellen 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 Ellen Kim was last updated on August 9, 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.
# Ellen H Kim, MD · NPI 1912069329
Family Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 14, 2006.
## Identity
- **NPI:** 1912069329 (Entity type: Individual)
- **Enumerated:** December 14, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD430049 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 6431 SACKETT ST, Philadelphia, PA 19149
- **Phone:** (267) 448-4908 · **Fax:** (267) 297-3950
## 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): Dedicated Pennsylvania Holding, LLC (NPI 1477053569, Philadelphia, PA); Wrightstown Family Medicine PC (NPI 1740473628, Newtown, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** August 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1912069329) · Data from the CMS NPPES public registry.