DR. JOSEPHINE S. KIM (MD) – Gynecologic Oncology Physician, NPI 1699086173
Gynecologic Oncology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
181 GYNECOLOGICAL ONCOLOGY in CA
Provider Addresses for DR. JOSEPHINE S. KIM (MD)
2151 N Harbor Blvd Ste 3100
Fullerton, CA 928353825
Phone: (800) 826-4673
Type: Location
5841 S MARYLAND AVE
MC 2050
CHICAGO, IL 60637
Phone: (773) 702-6123
Type: Mailing
5841 S MARYLAND AVE # MC2050
CHICAGO, IL 606371447
Phone: (773) 702-6123
Type: Location
1601 Avocado Ave
Newport Beach, CA 926607798
Phone: (949) 763-2204
Fax: (949) 536-8036
Type: Location
2100 Main St Ste 300
Huntington Beach, CA 926482489
Phone: (714) 252-9415
Fax: (714) 963-8407
Type: Location
PO BOX 512185
LOS ANGELES, CA 900510185
Phone:
Type: Mailing
1000 FIVEPOINT
IRVINE, CA 926182377
Phone: (800) 826-4673
Type: Location
150 HARVESTER DR
SUITE 300
BURR RIDGE, IL 605275919
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2023-02-10 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $17 |
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: 2025-08-07
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20170920001206 | I | Gynecological Oncology | IL | TBD |
| I20190530002206 | I | Gynecological Oncology | IN | TBD |
| I20250807001134 | I | Gynecological 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 | 103 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 103 | 77 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 45 | 19 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 31 | 15 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 27 | 27 | $0 |
Insurance plans in this area (ZIP 92835)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| N E U R O L O G Y | IL | |
| Hospitalist, Internal Medicine | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| Allergy/Immunology, Internal Medicine | IL | |
| Physician Assistant | IL | |
| Hematology/Oncology, Internal Medicine | MO | |
| Nurse Practitioner | IL | |
| Gynecological Oncology, Obstetrics/Gynecology | IL |
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