Peter Joo Kim, MD - Medicare General Surgery in Little Rock, AR

Peter Joo Kim, MD is a medicare enrolled "Surgery" physician in Little Rock, Arkansas. He went to University Of Arkansas College 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 Arkansas Health Group and his current practice location is 9500 Kanis Rd, Suite 501, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 227-9080.

Peter Joo Kim is licensed to practice in Arkansas (license number E5116) 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 1619186053.

Contact Information

Peter Joo Kim, MD
9500 Kanis Rd, Suite 501,
Little Rock, AR 72205-6324
(501) 227-9080
(501) 227-0410

Map and Direction




Physician's Profile

Full NamePeter Joo Kim
GenderMale
SpecialityGeneral Surgery
Experience22 Years
Location9500 Kanis Rd, Little Rock, Arkansas
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:
  • Peter Joo Kim attended and graduated from University Of Arkansas College Of Medicine in 2002
  NPI Data:
  • NPI Number: 1619186053
  • Provider Enumeration Date: 05/22/2007
  • Last Update Date: 05/14/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0244321578
  • Enrollment ID: I20070801000218

Medical Identifiers

Medical identifiers for Peter Joo Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619186053NPI-NPPES
164967001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery E5116 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health Medical Center-little RockLittle rock, ARHospital
Baptist Health Medical Center North Little RockNorth little rock, ARHospital
Baptist Health Medical Center- ConwayConway, ARHospital
Chi-st Vincent InfirmaryLittle rock, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arkansas Health Group7911802079517

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. Peter Joo Kim allows following entities to bill medicare on his behalf.
Entity NameArkansas Health Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760024459
PECOS PAC ID: 7911802079
Enrollment ID: O20200122000556

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. Peter Joo 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
Peter Joo Kim, MD
9500 Kanis Rd, Suite 501,
Little Rock, AR 72205-6324

Ph: (501) 227-9080
Peter Joo Kim, MD
9500 Kanis Rd, Suite 501,
Little Rock, AR 72205-6324

Ph: (501) 227-9080

Reviews and Comments


Surgery Doctors in Little Rock, AR

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Mrs. Elaine Marie Thrash, PA
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Mrs. Chelsea Nicole Scherz, APRN
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Dr. Jonathan Amarkwei Laryea, MB CHB
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Dr. Jordan W Greer, M.D.
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Medicare: Medicare Enrolled
Practice Location: 4110 Outpatient Circle, Outpatient Center, Third Floor, Little Rock, AR 72205
Phone: 501-686-6086    Fax: 501-686-5855

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.