DR. JAEHWAN KIM M.D.
NPI 1952764458
Internal Medicine in Sacramento, CA

Q: What is Jaehwan Kim's NPI number?

The NPI number for Jaehwan Kim is 1952764458. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Q: What is Jaehwan Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaehwan Kim was last updated on February 26, 2022. 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.

Active since April 01, 2016PECOS EnrolledAccepts Medicare Assignment

3301 C ST STE 1400, SACRAMENTO, CA 95816(916) 551-2621(916) 319-7042 Get Directions Write a Review

NPPES record last updated: February 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 26, 2022, Jun 14, 2020, Apr 1, 2016 (3 updates tracked since 2016).

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About Dr. Jaehwan Kim M.d. NPPES

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

DR. JAEHWAN KIM M.D. (NPI 1952764458) is an individual internal medicine provider in Sacramento, California, licensed in California (C175700) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1952764458

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JAEHWAN KIMCredential: M.D.

Location Address3301 C ST STE 1400Sacramento, CA 95816-3367

Mailing Address3301 C St Ste 1400Sacramento, CA 95816-3367 · (916) 551-2621 · Fax (916) 319-7042

Phone(916) 551-2621

Fax(916) 319-7042

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateApril 1, 2016

Last NPPES UpdateFebruary 26, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2022

✔ NPI 1952764458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in CA · C175700✔ Licensed in NY · 279269

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3301 C ST STE 1400, Sacramento, CA 95816

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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 and accepts Medicare assignment

Dr. Jaehwan Kim M.d. 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 ID143568881

PECOS Enrollment IDI20211229002182

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 95816 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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.

Other Providers at the Same Location NPPES 16

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

STEPHANIE T LE MD

Dermatology