Dr Jerry J Kim, MD - Medicare General Surgery in Pomona, CA

Dr Jerry J Kim, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Pomona, California. He went to Baylor College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Chaparral Medical Group Inc and his current practice location is 350 Vinton Ave Ste 202, Pomona, California. You can reach out to his office (for appointments etc.) via phone at (909) 909-1148.

Dr Jerry J Kim is licensed to practice in California (license number A124130) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912295510.

Contact Information

Dr Jerry J Kim, MD
350 Vinton Ave Ste 202,
Pomona, CA 91767-3000
(909) 909-1148
(909) 363-4954

Map and Direction




Physician's Profile

Full NameDr Jerry J Kim
GenderMale
SpecialityGeneral Surgery
Experience13 Years
Location350 Vinton Ave Ste 202, Pomona, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jerry J Kim attended and graduated from Baylor College Of Medicine in 2011
  NPI Data:
  • NPI Number: 1912295510
  • Provider Enumeration Date: 07/16/2011
  • Last Update Date: 08/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2062630924
  • Enrollment ID: I20140906000016

Medical Identifiers

Medical identifiers for Dr Jerry J Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912295510NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery A124130 (California)Primary
208600000XSurgery A124130 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pomona Valley Hospital Medical CenterPomona, CAHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jerry J Kim allows following entities to bill medicare on his behalf.
Entity NameChaparral Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477733624
PECOS PAC ID: 6800709403
Enrollment ID: O20031110000605
Entity NameJerry Kim Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093452278
PECOS PAC ID: 4082094479
Enrollment ID: O20220701000289

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jerry J Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jerry J Kim, MD
350 Vinton Ave Ste 202,
Pomona, CA 91767-3000

Ph: (909) 973-1148
Dr Jerry J Kim, MD
350 Vinton Ave Ste 202,
Pomona, CA 91767-3000

Ph: (909) 909-1148

Reviews and Comments


Surgery Doctors in Pomona, CA

Autar Kristen Wali, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 155 W Willow St, Pomona, CA 91768
Phone: 909-865-2626    Fax: 909-865-2010
Marian Safaoui, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 309 East Second Street, Pomona, CA 91766
Phone: 909-706-3934    Fax: 909-469-5698
Alexander Lam, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 350 Vinton Ave Ste 202, Pomona, CA 91767
Phone: 909-973-1148    Fax: 909-363-4954
Andrew H. Ahn, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 1900 Royalty Dr, Ste 205, Pomona, CA 91767
Phone: 714-530-0303    Fax: 714-530-7703
Dr. Ayyampalayam Raju Mohan,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Orange Grove Ave, Suite 308, Pomona, CA 91767
Phone: 909-622-6050    Fax: 909-620-4632
Lori Lee Vanyo, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1910 Royalty Dr, Pomona, CA 91767
Phone: 909-766-1600    Fax: 909-766-1601
Dr. Morteza Sajadian, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1818 N Orange Grove Ave, Suite 202, Pomona, CA 91767
Phone: 909-865-3000    Fax: 909-865-6223

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.