DR. TERESA H. KIM (M.D.) – Surgery Physician, NPI 1386663433
Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,317 GENERAL SURGERY in CA
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Provider Addresses for DR. TERESA H. KIM (M.D.)
2345, Country Hills Drive, Antioch, Contra Costa County, California, 94509, United States
ANTIOCH, CA 945097319
Phone: (925) 418-0278
Fax: (925) 978-0991
Type: Mailing
Hawthorne MOB, 365, Hawthorne Avenue, Pill Hill, Oakland, Alameda County, California, 94609, United States
#101
OAKLAND, CA 946093107
Phone: (510) 465-5523
Fax: (510) 832-6061
Type: Location
365 HAWTHORNE AVE
STE 101
OAKLAND, CA 946093115
Phone: (510) 465-5523
Fax: (510) 832-6061
Type: Mailing
5831 ACACIA AVE
OAKLAND, CA 946181855
Phone: (925) 295-7374
Type: Mailing
1425 S MAIN ST
WALNUT CREEK, CA 945965318
Phone: (925) 295-7374
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $253.
Total Amount is formed as General ($253) + Research ($0) + Ownership ($0) = $253.
Last reported payment date: 2023-07-06 • Largest payer in this snapshot: Cook Biotech Incorporated ($173).
Total Amount
$253
General + Research + Ownership
Payments
2
Total payment records
General Amount
$253
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cook Biotech Incorporated | $173 |
| Medtronic, Inc. | $80 |
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: 2006-09-13
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 |
|---|---|---|---|---|
| I20060913000383 | I | General Surgery | CA | 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 94509)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | DC | |
| Colorectal Surgery (Proctology), General Surgery | LA | |
| - | CA | |
| N E U R O S U R G E R Y | MA | |
| Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Emergency Medicine | CA | |
| - | MA | |
| Emergency Medicine | CA |
Reviews
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