YOUNG KIM (MD,PHD) – Cardiovascular Disease Physician, NPI 1700207941

YOUNG KIM (MD,PHD) is a healthcare provider. based in San jose, California. specializing in CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD,PHD. They hold a License No. A127211 (CA). The NPI Number for YOUNG KIM (MD,PHD) is 1700207941

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
YOUNG KIM (MD,PHD)
NPI
1700207941
Phone
(650) 289-8483
Address
2400 SAMARITAN DR STE 100
Enumeration Date
13 December 2013
Last Update Date
6 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7753841134
Graduation Year
2010 (16 years ago)
PAC ID
9133446990
Group Practice PAC ID
1456723162
Professional Enrollment ID
I20250507001166
Address ID
NV895112381RE5375XDRXX400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness95
Years active:12State licenses:1Other names

313 CARDIAC ELECTROPHYSIOLOGY in CA

Provider Addresses for YOUNG KIM (MD,PHD)

  • 2400 SAMARITAN DR STE 100

    SAN JOSE, CA 951243910

    Phone: (650) 289-8483

    Type: Location

  • 20126 STANTON AVE STE 100

    CASTRO VALLEY, CA 945465270

    Phone: (510) 537-3556

    Type: Mailing

  • 211 SAINT FRANCIS DR

    MEDICAL AFFAIRS

    CAPE GIRARDEAU, MO 63703

    Phone: (573) 331-5583

    Fax: (573) 331-5079

    Type: Mailing

  • 251 CAMPUS DRIVE ROOM X3C46 MEDICAL SCHOOL OFFICE BDG

    DIVISION OF GENERAL MEDICAL DISCIPLINES

    STANFORD, CA 94305

    Phone: (650) 723-8287

    Type: Location

  • 2500 NE Neff Rd

    Bend, OR 977016015

    Phone: (541) 388-4333

    Fax: (541) 388-1719

    Type: Location

  • 211 Saint Francis Dr Ste 15

    Cape Girardeau, MO 637035049

    Phone: (573) 331-3333

    Fax: (573) 331-3334

    Type: Location

  • 1225 Graham Rd Ste C-2310

    Florissant, MO 630318023

    Phone: (314) 953-6300

    Fax: (314) 953-6309

    Type: Location

  • PO BOX 801143

    KANSAS CITY, MO 641801143

    Phone: (573) 331-5583

    Fax: (573) 331-5079

    Type: Mailing

  • 211 SAINT FRANCIS DR STE 15

    CAPE GIRARDEAU, MO 637035049

    Phone: (573) 331-3333

    Fax: (573) 331-3334

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $841.

Total Amount is formed as General ($841) + Research ($0) + Ownership ($0) = $841.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Abbott Laboratories ($539).

Total Amount

$841

General + Research + Ownership

Payments

10

Total payment records

General Amount

$841

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2026-02-19

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20150317000015ICardiovascular Disease (Cardiology)CATBD
I20210302002007ICardiac ElectrophysiologyNETBD
I20230731001457ICardiovascular Disease (Cardiology)ORTBD
I20250507001166ICardiovascular Disease (Cardiology)NVTBD
I20251204000234ICardiac ElectrophysiologyPATBD
I20260219001429ICardiac ElectrophysiologyILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95124)

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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: 1456723162View full group profile
NameSpecialtyState
Physician AssistantNV
Cardiovascular Disease (Cardiology)NV
Cardiovascular Disease (Cardiology)NV
Nurse PractitionerNV
Physician AssistantNV
Cardiovascular Disease (Cardiology), Internal Medicine, Radiation OncologyTX
Physician AssistantNV
Cardiovascular Disease (Cardiology), Internal Medicine, Cardiac ElectrophysiologyCO

Reviews

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Frequently asked questions

What unique ID ties claims to YOUNG KIM (MD,PHD)?
NPI 1700207941 is assigned to YOUNG KIM (MD,PHD) under the national enumeration system.
Is YOUNG KIM (MD,PHD) active in the national directory?
YOUNG KIM (MD,PHD)'s public NPI profile is in an active state.
Does YOUNG KIM (MD,PHD) list a primary specialty?
If you are matching referrals, note Cardiovascular Disease Physician for YOUNG KIM (MD,PHD). Clinical services aligned with this taxonomy classification.
Where does public data place YOUNG KIM (MD,PHD)?
The snapshot lists San Jose, California for YOUNG KIM (MD,PHD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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