SEONG IL KIM (MD) – Hematology & Oncology Physician, NPI 1316987605

SEONG IL KIM (MD) is a healthcare provider. based in Glendale, California. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. C139331 (CA). The NPI Number for SEONG IL KIM (MD) is 1316987605

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
SEONG IL KIM (MD)
NPI
1316987605
Phone
(323) 254-0046
Address
541 W COLORADO ST STE 205
Enumeration Date
7 June 2006
Last Update Date
19 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2139771214
Graduation Year
1981 (45 years ago)
PAC ID
1153359484
Group Practice PAC ID
6608819594
Professional Enrollment ID
I20160510001178
Address ID
CA900174803LO1245XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,531 HEMATOLOGY/ONCOLOGY in CA

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Provider Addresses for SEONG IL KIM (MD)

  • 205, West Colorado Street, Glendale, Los Angeles County, California, 91204, United States

    GLENDALE, CA 912043640

    Phone: (323) 254-0046

    Fax: (323) 488-9782

    Type: Mailing

  • Wilshire Boulevard, Financial District, Downtown, Los Angeles, Los Angeles County, California, 90025, United States

    LOS ANGELES, CA 90017

    Phone: (213) 977-1214

    Fax: (213) 482-8868

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 179 Open Payments records for all available years, with a total value of $4,506.

Total Amount is formed as General ($4,506) + Research ($0) + Ownership ($0) = $4,506.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($355).

Total Amount

$4,506

General + Research + Ownership

Payments

179

Total payment records

General Amount

$4,506

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2016-05-10

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
I20160510001178IHematology/OncologyCATBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg63459$0
99214Established patient office or other outpatient visit, 30-39 minutes369204$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count166111$0
J2405Injection, ondansetron hydrochloride, per 1 mg13812$0
J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg13613$0
View full utilization report →

Insurance plans in this area (ZIP 91204)

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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: 6608819594View full group profile
NameSpecialtyState
Gynecological OncologyCA
Medical OncologyCA
Hematology/Oncology, Internal MedicineCA
Nurse PractitionerCA
Hematology/Oncology, Internal MedicineCA
H E M A T O L O G Y/ O N C O L O G YCA
Gynecological OncologyPA
Gynecological Oncology, Obstetrics/GynecologyCA
Internal MedicineCA
H E M A T O L O G Y/ O N C O L O G YCA

Reviews

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Frequently asked questions

Is SEONG IL KIM (MD) listed with a National Provider Identifier?
Yes — SEONG IL KIM (MD) has NPI 1316987605 on file in the registry.
Would SEONG IL KIM (MD) appear as active to a payer?
You can treat SEONG IL KIM (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is SEONG IL KIM (MD)?
SEONG IL KIM (MD) is associated with Hematology & Oncology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in California is SEONG IL KIM (MD) registered?
Use Glendale, California as the headline location for SEONG IL KIM (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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