KEVIN T. KIM (M.D.) – Hematology & Oncology Physician, NPI 1689768848
Hematology & Oncology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,531 HEMATOLOGY/ONCOLOGY in CA
Provider Addresses for KEVIN T. KIM (M.D.)
1325 E CHURCH ST STE 301
SANTA MARIA, CA 934545915
Phone: (805) 349-9393
Fax: (805) 614-7929
Type: Mailing
850 Fair Oaks Ave Ste 310
Arroyo Grande, CA 934203929
Phone: (805) 474-5310
Type: Location
700 W Ironwood Dr
Suite 130
Coeur D Alene, ID 838142656
Phone: (208) 625-4700
Fax: (208) 625-4701
Type: Location
West Kootenai Health Way, Coeur d'Alene, Kootenai County, Idaho, 83815, United States
COEUR D ALENE, ID 838146051
Phone: (208) 625-4000
Type: Mailing
700, West Ironwood Drive, Coeur d'Alene, Kootenai County, Idaho, 83814, United States
SUITE 130
COEUR D ALENE, ID 838142656
Phone: (208) 625-4700
Fax: (208) 625-4701
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $381.
Total Amount is formed as General ($381) + Research ($0) + Ownership ($0) = $381.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Janssen Biotech, Inc. ($67).
Total Amount
$381
General + Research + Ownership
Payments
15
Total payment records
General Amount
$381
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-12-13
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 |
|---|---|---|---|---|
| I20051213000887 | I | Hematology/Oncology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 840 | 252 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 187 | 156 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 106 | 71 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 72 | 72 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 54 | 54 | $0 |
Insurance plans in this area (ZIP 93454)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| General Surgery | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| General Surgery | CA |
Reviews
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