DR. ANGELO KIM (M.D.) – Emergency Medicine Physician, NPI 1114212743

DR. ANGELO KIM (M.D.) is a healthcare provider. based in Santa clarita, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 16843 (NV). The NPI Number for DR. ANGELO KIM (M.D.) is 1114212743

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANGELO KIM (M.D.)
NPI
1114212743
Phone
(661) 434-5987
Address
27404 N. EVAN LN
Enumeration Date
11 June 2011
Last Update Date
6 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7026164600
Graduation Year
2011 (15 years ago)
PAC ID
8123246121
Group Practice PAC ID
2163968603
Professional Enrollment ID
I20170508002534
Address ID
NV890155575HE102XXPKWY500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

Provider Addresses for DR. ANGELO KIM (M.D.)

  • 27404 N. EVAN LN

    #102

    SANTA CLARITA, CA 91387

    Phone: (661) 434-5987

    Type: Mailing

  • 38600 MEDICAL CENTER DRIVE,

    PALMDALE, CA 93551

    Phone: (661) 382-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $183.

Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Inari Medical, Inc. ($183).

Total Amount

$183

General + Research + Ownership

Payments

1

Total payment records

General Amount

$183

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$183
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170508002534IEmergency MedicineNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making224219$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only189181$0
99284Emergency department visit with moderate level of medical decision making9898$0
99291Critical care, first 30-74 minutes6969$0
99283Emergency department visit with low level of medical decision making2020$0
View full utilization report →

Insurance plans in this area (ZIP 91387)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163968603View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineTN
Emergency MedicineIL
Nurse PractitionerTX
Emergency MedicineLA
Emergency MedicineCA
Emergency Medicine, Family PracticeTN
Emergency MedicineNV
Emergency MedicineOH
Physician AssistantNV

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is DR. ANGELO KIM (M.D.)'s NPI number?
DR. ANGELO KIM (M.D.)'s NPI is 1114212743 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. ANGELO KIM (M.D.)?
For scheduling context, DR. ANGELO KIM (M.D.) is shown as active in the registry.
What area of care is associated with DR. ANGELO KIM (M.D.)?
DR. ANGELO KIM (M.D.)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ANGELO KIM (M.D.)?
Directory geography for DR. ANGELO KIM (M.D.) centers on Santa Clarita, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.