JIN HEE KIM (M.D.) – Hospitalist Physician, NPI 1124310263

JIN HEE KIM (M.D.) is a healthcare provider. based in San bernardino, California. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A115125 (CA). The NPI Number for JIN HEE KIM (M.D.) is 1124310263

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
JIN HEE KIM (M.D.)
NPI
1124310263
Phone
(909) 335-4188
Address
PO BOX 10069
Enumeration Date
9 May 2011
Last Update Date
24 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4129969012
Graduation Year
2004 (22 years ago)
PAC ID
8426229832
Group Practice PAC ID
4082146634
Professional Enrollment ID
I20130617000677
Address ID
CA926121244IR18650BLVD300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

Provider Addresses for JIN HEE KIM (M.D.)

  • PO BOX 10069

    SAN BERNARDINO, CA 924230069

    Phone: (909) 335-4188

    Type: Mailing

  • 2 W FERN AVE

    REDLANDS, CA 92373

    Phone: (909) 793-3311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $382.

Total Amount is formed as General ($382) + Research ($0) + Ownership ($0) = $382.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($184).

Total Amount

$382

General + Research + Ownership

Payments

19

Total payment records

General Amount

$382

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2013-06-17

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
I20130617000677IInternal MedicineCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92423)

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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: 4082146634View full group profile
NameSpecialtyState
P S Y C H I A T R YCA
Family PracticeNY
Family PracticePA
Internal MedicineCA
P S Y C H I A T R YCA
Nurse PractitionerCA
P O D I A T R YCA
Nurse PractitionerCA
Nurse PractitionerCA
Internal MedicineCA

Reviews

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Frequently asked questions

What federal number belongs to JIN HEE KIM (M.D.)?
The federal identifier for JIN HEE KIM (M.D.) is NPI 1124310263.
Is JIN HEE KIM (M.D.) active in the national directory?
JIN HEE KIM (M.D.)'s public NPI profile is in an active state.
What kind of provider is JIN HEE KIM (M.D.)?
The page reflects Hospitalist Physician for JIN HEE KIM (M.D.). Clinical services aligned with this taxonomy classification.
Does JIN HEE KIM (M.D.) practice in California?
You will see San Bernardino, California on file for JIN HEE KIM (M.D.) alongside any extra practice locations.
What if San Bernardino, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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