MR. TAE YEON KIM M.D.
NPI 1962865451
Anesthesiology in West Hollywood, CA
About Mr. Tae Yeon Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TAE YEON KIM M.D. (NPI 1962865451) is an individual anesthesiology provider in West Hollywood, California, licensed in California (A167819) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Morehouse School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Mr. Tae Yeon 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.
Medicare Billing Reassignments
6Medicare enrollment records show Tae Yeon Kim reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
- 2,118 clinicians in this Medicare group
Los Angeles, CA 90034
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 131 clinicians in this Medicare group
Glendale, CA 91206
- Reassigned Medicare billing, California enrollment
- 42 clinicians in this Medicare group
Glendale, CA 91206
- Reassigned Medicare billing, California enrollment
- 164 clinicians in this Medicare group
Murrieta, CA 92563
- Reassigned Medicare billing, California enrollment
- 137 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
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 Tae Yeon Kim's NPI number?
The NPI number for Tae Yeon Kim is 1962865451. It was assigned to this individual provider in the NPPES registry on April 1, 2016.
Where is Tae Yeon Kim located?
Tae Yeon Kim practices at 8700 Beverly Blvd, West Hollywood, CA 90048. The listed phone number is (310) 423-5841.
What is Tae Yeon Kim's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Tae Yeon Kim enrolled in Medicare?
Yes. Tae Yeon 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 Tae Yeon Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tae Yeon Kim reassigns Medicare benefits to 6 organizations: Cedars-Sinai Medical Care Foundation (Los Angeles, CA), Southern California Permanente Medical Group (Los Angeles, CA), White Memorial Medical Center (Los Angeles, CA), Consultants For Anesthesia & Management Of Pain (Glendale, CA), Glendale Adventist Medical Center (Glendale, CA) and 1 more organization, listed in the Medicare section above. 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 Tae Yeon 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 Tae Yeon Kim was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Mr. Tae Yeon Kim, M.D. · NPI 1962865451
Anesthesiology physician in West Hollywood, California. Individual provider, active in the CMS NPPES registry since April 1, 2016.
## Identity
- **NPI:** 1962865451 (Entity type: Individual)
- **Enumerated:** April 1, 2016
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** A167819 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8700 BEVERLY BLVD, West Hollywood, CA 90048-1804
- **Phone:** (310) 423-5841
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Cedars-Sinai Medical Care Foundation (NPI 1043826720, Los Angeles, CA); Southern California Permanente Medical Group (NPI 1043242563, Los Angeles, CA); White Memorial Medical Center (NPI 1215927470, Los Angeles, CA); Consultants For Anesthesia & Management Of Pain (NPI 1952323909, Glendale, CA); Glendale Adventist Medical Center (NPI 1336138403, Glendale, CA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Morehouse School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** October 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962865451) · Data from the CMS NPPES public registry.