ANDREW H KIM M.D.
NPI 1972857159
Pediatrics - Pediatric Critical Care Medicine in Minneapolis, MN

Q: What is Andrew Kim's NPI number?

The NPI number for Andrew Kim is 1972857159. It was assigned to this individual provider in the NPPES registry on November 9, 2012.

Q: What is Andrew Kim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Kim was last updated on June 16, 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.

Active since November 09, 2012PECOS EnrolledAccepts Medicare Assignment

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 273-6000 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Andrew H Kim M.d. NPPES

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

ANDREW H KIM M.D. (NPI 1972857159) is an individual pediatric critical care medicine provider in Minneapolis, Minnesota, licensed in California (A120214) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Madera, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1972857159

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameANDREW H KIMCredential: M.D.

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing AddressPo Box 7096Stockton, CA 95267-0096 · (209) 956-7725 · Fax (209) 956-7733

Phone(612) 273-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateNovember 9, 2012

Last NPPES UpdateJune 16, 2023

NPPES CertifiedJune 16, 2023

✔ NPI 1972857159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in CA · A120214

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Secondary Practice Location 1

Location 19300 Valley Childrens PlMadera, CA 93636-8761 · Phone (559) 353-3000 · Fax (858) 279-8415

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Andrew H 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 ID345569935

PECOS Enrollment IDI20230627000581

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.

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.

MICHELLE IRENE GRAY

Rehabilitation Practitioner