Kyungrok Kim, MD in Chatsworth, CA - Medicare Anesthesiology

Kyungrok Kim, MD is a medicare enrolled "Anesthesiology" physician in Chatsworth, California. He went to University Of California, Davis School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 20639 Kingsbury St, Chatsworth, California. You can reach out to his office (for appointments etc.) via phone at (818) 434-6025.

Kyungrok Kim is licensed to practice in California (license number A77040) 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 1346415072.

Contact Information

	Kyungrok Kim, MD
	20639 Kingsbury St, Chatsworth, CA 91311-2428
	(818) 434-6025
	Not Available

Map and Direction

Physician's Profile

Full Name	Kyungrok Kim
Gender	Male
Speciality	Anesthesiology
Experience	24 Years
Location	20639 Kingsbury St, Chatsworth, California
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:

Kyungrok Kim attended and graduated from University Of California, Davis School Of Medicine in 2000

NPI Data:

NPI Number: 1346415072
Provider Enumeration Date: 04/24/2008
Last Update Date: 05/05/2022

Medicare PECOS Information:

PECOS PAC ID: 0547318479
Enrollment ID: I20090504000508

Medical Identifiers

Medical identifiers for Kyungrok Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346415072	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	A77040 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - Los Angeles	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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. Kyungrok Kim allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Samaritan Anesthesiology Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982792743 PECOS PAC ID: 1456351824 Enrollment ID: O20070109000166

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. Kyungrok 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
Kyungrok Kim, MD 20639 Kingsbury St, Chatsworth, CA 91311-2428 Ph: (818) 434-6025	Kyungrok Kim, MD 20639 Kingsbury St, Chatsworth, CA 91311-2428 Ph: (818) 434-6025

Kyungrok Kim, MD - Medicare Anesthesiology in Chatsworth, CA