PETER LEE KIM MD
NPI 1972990885
Psychiatry & Neurology - Neurology in New Haven, CT

Active since April 17, 2015PECOS EnrolledAccepts Medicare Assignment
15 YORK ST, NEW HAVEN, CT 06510(203) 785-4085 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 13, 2023, Jul 2, 2020, Jun 13, 2016 (3 updates tracked since 2016).

About Peter Lee Kim Md NPPES

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

PETER LEE KIM MD (NPI 1972990885) is an individual neurology provider in New Haven, Connecticut, licensed in Washington (MD7006640) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Drexel University College Of Medicine (2015).

NPPES Registry Identity

NPI1972990885
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NamePETER LEE KIMCredential: MD
Location Address15 YORK STNew Haven, CT 06510-3221
Mailing Address15 York StNew Haven, CT 06510-3221 · (203) 785-4085
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2015
Enumeration DateApril 17, 2015
Last NPPES UpdateFebruary 26, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2026
✔ NPI 1972990885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in WA · MD7006640
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
15 YORK ST, New Haven, CT 06510

Secondary Practice Location 1

Location 1201 16th Ave ESeattle, WA 98112-5226 · Phone (206) 326-3000 · Fax (877) 515-2975

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

Peter Lee Kim Md 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 ID6406140136
PECOS Enrollment IDI20221109001160
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Peter Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2930 MAPLE ST
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
Health Maintenance Organization
3288 MOANALUA RD
Honolulu, HI 96819
  • Reassigned Medicare billing, Hawaii enrollment
  • 1,187 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 06510 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 20

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

Student in an Organized Health Care Education/Training Program
15 YORK ST
NEW HAVEN, CT 06510
Student in an Organized Health Care Education/Training Program
15 YORK ST, YNHH DEPT OF MEDICINE, LMP 1092
NEW HAVEN, CT 06510
Dermatology (Dermatopathology)
15 YORK ST, LMP 5031
NEW HAVEN, CT 06510
Dermatology
15 YORK ST, DERMATOLOGY, LCI ROOM 609
NEW HAVEN, CT 06510
Internal Medicine
15 YORK ST, YNHH DEPT OF MEDICINE, LMP 1092
NEW HAVEN, CT 06510
Dermatology
15 YORK ST
NEW HAVEN, CT 06510
Internal Medicine (Infectious Disease)
15 YORK ST, NATHAN SMITH BUILDING
NEW HAVEN, CT 06510
Physician Assistant
15 YORK ST
NEW HAVEN, CT 06510

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 1972990885. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Where is Peter Kim located?

Peter Kim practices at 15 York St, New Haven, CT 06510. The listed phone number is (203) 785-4085.

What is Peter Kim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

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.

Which organizations bill Medicare for Peter Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Kim reassigns Medicare benefits to 3 organizations: Kaiser Foundation Health Plan Of Washington (Everett, WA), Southern California Permanente Medical Group (Lancaster, CA) and Hawaii Permanente Medical Group Inc (Honolulu, HI). 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 Peter 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 Peter Kim was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.