ELDEN H. KIM F.N.P.
NPI 1942907514
Nurse Practitioner - Family in Dublin, CA
About Elden H. Kim F.n.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELDEN H. KIM F.N.P. (NPI 1942907514) is an individual family provider in Dublin, California, licensed in California (95024265) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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
Elden H. Kim F.n.p. 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 Elden Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Redwood City, CA 94063
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Millbrae, CA 94030
- Reassigned Medicare billing, California enrollment
- 8 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 94568 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Elden Kim's NPI number?
The NPI number for Elden Kim is 1942907514. It was assigned to this individual provider in the NPPES registry on February 14, 2023.
Where is Elden Kim located?
Elden Kim practices at 4766 Calcagno Ct, Dublin, CA 94568. The listed phone number is (415) 961-4555.
What is Elden Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Elden Kim enrolled in Medicare?
Yes. Elden 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 Elden Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elden Kim reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Redwood City, CA) and Pacific Family Medicine Clinic Inc (Millbrae, CA). 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 Elden 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 Elden Kim was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.
# Elden H. Kim, F.N.P. · NPI 1942907514
Family physician in Dublin, California. Individual provider, active in the CMS NPPES registry since February 14, 2023.
## Identity
- **NPI:** 1942907514 (Entity type: Individual)
- **Enumerated:** February 14, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95024265 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4766 CALCAGNO CT, Dublin, CA 94568-4264
- **Phone:** (415) 961-4555
## 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): Permanente Medical Group Inc (NPI 1639252604, Redwood City, CA); Pacific Family Medicine Clinic Inc (NPI 1356723605, Millbrae, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 29, 2026
- **Other identifiers:** Medicaid D4049136 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1942907514) · Data from the CMS NPPES public registry.