JOHN KIM (M.D.) – Emergency Medicine Physician, NPI 1124384706
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,790 EMERGENCY MEDICINE in CA
Provider Addresses for JOHN KIM (M.D.)
427 9TH AVE
UNIT 502
SAN DIEGO, CA 921017339
Phone: (310) 709-3232
Type: Mailing
5555 GROSSMONT CENTER DR
LA MESA, CA 919423019
Phone: (619) 740-6000
Type: Location
1600 HOSPITAL WAY
WHITEFISH, MT 599377849
Phone: (406) 863-3500
Fax: (406) 308-1113
Type: Location
1222 LION MOUNTAIN DR
WHITEFISH, MT 599378071
Phone: (310) 709-3232
Fax: (406) 308-1113
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151218002176 | I | Emergency Medicine | CA | TBD |
| I20160107003120 | I | Emergency Medicine | NV | TBD |
| I20200501000513 | I | Emergency Medicine | NM | TBD |
| I20220408000905 | I | Emergency Medicine | TX | TBD |
| I20240731002790 | I | Emergency Medicine | TN | TBD |
| I20240731003060 | I | Emergency Medicine | MS | TBD |
| I20250313001005 | I | Emergency Medicine | MT | TBD |
| I20260128000243 | I | Emergency Medicine | OK | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 83 | 82 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 77 | 74 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 39 | 37 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 15 | 15 | $0 |
Insurance plans in this area (ZIP 92101)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | CA | 71010 | X-ray of chest, 1 view, front | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | AZ | |
| Emergency Medicine | NV | |
| Emergency Medicine | OH | |
| Nurse Practitioner | NV | |
| Emergency Medicine | NV | |
| Emergency Medicine, Internal Medicine | NV | |
| - | NV | |
| Emergency Medicine | MI | |
| Emergency Medicine | FL | |
| Emergency Medicine | CA |
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