Jim Kim, MD is a medicare enrolled "Transplant Surgery" physician in Los Angeles, California. He went to Tulane University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Usc Care Medical Group Inc and his current practice location is
1516 San Pablo St Fl 2, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(323) 442-5908.
Jim Kim is licensed to practice in California (license number A86557) 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 1174602817.
Physician's Profile
Full Name | Jim Kim |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 22 Years |
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Location | 1516 San Pablo St Fl 2, Los Angeles, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jim Kim attended and graduated from Tulane University School Of Medicine in 2002
NPI Data:
- NPI Number: 1174602817
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587670575
- Enrollment ID: I20060228000683
Medical Identifiers
Medical identifiers for Jim Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174602817 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 53104-020 (Wisconsin) | Secondary |
204F00000X | Transplant Surgery | 263904 (New York) | Secondary |
204F00000X | Transplant Surgery | A86557 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Usc Care Medical Group Inc | 0446157747 | 1142 |
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. Jim Kim allows following entities to bill medicare on his behalf.
Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
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Entity Name | Usc Care Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
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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. Jim 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 Address | Practice Location Address |
Jim Kim, MD Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-5908 | Jim Kim, MD 1516 San Pablo St Fl 2, Los Angeles, CA 90033-5313 Ph: (323) 442-5908 |
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