JUSTIN KIM DO - NPI 1992445639 - Family Medicine in Tucson, AZ

Q: What is Justin Kim's NPI number?

The NPI number for Justin Kim is 1992445639. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Q: What is Justin Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Kim was last updated on June 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Justin Kim Do NPPES

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

JUSTIN KIM DO (NPI 1992445639) is an individual family medicine provider in Tucson, Arizona, licensed in Arizona (012052) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Midwestern University College Of Dental Medicine, Glendale (2022).

NPPES Registry Identity

NPI1992445639

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJUSTIN KIMCredential: DO

Location Address7105 N LA CHOLLA BLVDTucson, AZ 85741-3112

Mailing Address4801 E Broadway Blvd Ste 251Tucson, AZ 85711-2700 · (520) 327-0460

Phone(520) 547-0611

Sole ProprietorNo

Medical School CMSMidwestern University College Of Dental Medicine, GlendaleGraduated 2022

Enumeration DateMarch 30, 2022

Last NPPES UpdateJune 25, 2026

NPPES CertifiedJune 25, 2026

✔ NPI 1992445639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 012052

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7105 N LA CHOLLA BLVD, Tucson, AZ 85741

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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

Justin Kim Do 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 ID3375029267

PECOS Enrollment IDI20260109003469

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 85741 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 11

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

STEWART LEWIS FNP

Clinical Nurse Specialist (Family Health)