PETER KIM
NPI 1922399906
Orthopaedic Surgery in Los Angeles, CA

Active since April 26, 2011PECOS EnrolledAccepts Medicare Assignment
1520 SAN PABLO ST, SUITE 2000, LOS ANGELES, CA 90033(323) 442-5860 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2021, Jun 14, 2016 (2 updates tracked since 2016).

About Peter Kim NPPES

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

PETER KIM (NPI 1922399906) is an individual orthopaedic surgery provider in Los Angeles, California, licensed in California (A142457) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2011).

NPPES Registry Identity

NPI1922399906
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NamePETER KIM
Location Address1520 SAN PABLO ST, SUITE 2000Los Angeles, CA 90033-5310
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5860
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2011
Enumeration DateApril 26, 2011
Last NPPES UpdateNovember 18, 20212 updates tracked since enumeration
NPI 1922399906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in CA · A142457
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1520 SAN PABLO ST, Los Angeles, CA 90033

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Peter 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 ID5799005096
PECOS Enrollment IDI20160718001704
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 90033 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
1520 SAN PABLO ST, SUITE 1000
LOS ANGELES, CA 90033
Psychiatry & Neurology (Neurology)
1520 SAN PABLO ST, SUITE 3000
LOS ANGELES, CA 90033
Nurse Practitioner
1520 SAN PABLO ST, SUITE 1000
LOS ANGELES, CA 90033
Psychiatry & Neurology (Psychiatry)
1520 SAN PABLO ST, STE 1652
LOS ANGELES, CA 90033
Psychiatry & Neurology (Psychiatry)
1520 SAN PABLO ST, STE1652
LOS ANGELES, CA 90033
Internal Medicine (Gastroenterology)
1520 SAN PABLO ST, SUITE 1000
LOS ANGELES, CA 90033
Internal Medicine (Cardiovascular Disease)
1520 SAN PABLO ST, SUITE 1000
LOS ANGELES, CA 90033
Family Medicine (Geriatric Medicine)
1520 SAN PABLO ST, 1ST FLOOR
LOS ANGELES, CA 90033

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 1922399906. It was assigned to this individual provider in the NPPES registry on April 26, 2011.

Where is Peter Kim located?

Peter Kim practices at 1520 San Pablo St Suite 2000, Los Angeles, CA 90033. The listed phone number is (323) 442-5860.

What is Peter Kim's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Peter Kim enrolled in Medicare?

Yes. Peter 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.

When was this NPI record last updated?

The NPPES record for Peter Kim was last updated on November 18, 2021. 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.