CHANGHYUN KIM (M.D.) – Dermatology Physician, NPI 1285016113
Dermatology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
Provider Addresses for CHANGHYUN KIM (M.D.)
2950 Research Park Dr
Soquel, CA 950732000
Phone: (831) 458-5548
Type: Location
325 DISTEL CIR
LOS ALTOS, CA 940221408
Phone:
Type: Mailing
2950 RESEARCH PARK DR
SOQUEL, CA 950732000
Phone: (831) 458-5548
Type: Location
41990 COOK ST STE 1006
PALM DESERT, CA 922116105
Phone: (760) 568-9300
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $477.
Total Amount is formed as General ($477) + Research ($0) + Ownership ($0) = $477.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Amgen Inc. ($217).
Total Amount
$477
General + Research + Ownership
Payments
8
Total payment records
General Amount
$477
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $217 |
| Novo Nordisk Inc | $125 |
| Incyte Corporation | $122 |
| Arcutis Biotherapeutics, Inc. | $13 |
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: 2024-11-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241108001532 | I | Dermatology | NY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95073)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NY | |
| Nurse Practitioner | NY | |
| D E R M A T O L O G Y | NY | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | NY | |
| N E U R O L O G Y | NY | |
| Internal Medicine | NY | |
| Endocrinology, Internal Medicine | NY | |
| Internal Medicine | NY | |
| Internal Medicine | NY | |
| Internal Medicine | NY |
Reviews
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