HUI-KYUNG TINA KIM (MD) – Dermatology Physician, NPI 1720076631

HUI-KYUNG TINA KIM (MD) is a healthcare provider. based in Newport beach, California. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. A85684 (CA). The NPI Number for HUI-KYUNG TINA KIM (MD) is 1720076631

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
HUI-KYUNG TINA KIM (MD)
NPI
1720076631
Phone
(949) 760-0190
Address
1401 AVOCADO AVE
Enumeration Date
13 October 2005
Last Update Date
19 March 2026

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
8123094851
Professional Enrollment ID
I20040903000647
Address ID
CA926600797NE20162STXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

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Provider Addresses for HUI-KYUNG TINA KIM (MD)

  • Peter T. Smrecek Jr. DDS Inc., 1401, Avocado Avenue, Fashion Island, Newport Center, Newport Beach, Orange County, California, 92660, United States

    SUITE 703

    NEWPORT BEACH, CA 926607720

    Phone: (949) 760-0190

    Fax: (949) 760-0439

    Type: Mailing

  • 20162 SW BIRCH ST STE 250

    NEWPORT BEACH, CA 926600797

    Phone: (949) 251-0427

    Type: Mailing

  • 1506 E Chapman Ave

    Orange, CA 928662231

    Phone: (714) 538-8556

    Fax: (714) 538-1052

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 130 Open Payments records for all available years, with a total value of $2,189.

Total Amount is formed as General ($2,189) + Research ($0) + Ownership ($0) = $2,189.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($489).

Total Amount

$2,189

General + Research + Ownership

Payments

130

Total payment records

General Amount

$2,189

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2004-09-03

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
I20040903000647IDermatologyCATBD

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
17003Destruction of precancer skin growth, 2-14 growths2,265367$0
99213Established patient office or other outpatient visit, 20-29 minutes865517$0
17000Destruction of precancer skin growth, 1 growth833468$0
99214Established patient office or other outpatient visit, 30-39 minutes744491$0
17110Destruction of skin growth, 1-14 growths727490$0
View full utilization report →

Insurance plans in this area (ZIP 92660)

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Provider's Procedures

HUI-KYUNG TINA KIM (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCA17003Destruction of 2-14 skin growths1232178

Reviews

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Frequently asked questions

Does HUI-KYUNG TINA KIM (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — HUI-KYUNG TINA KIM (MD) uses 1720076631.
Can I rely on HUI-KYUNG TINA KIM (MD) being an active provider?
As of the registry snapshot, HUI-KYUNG TINA KIM (MD) is marked active.
What healthcare role does HUI-KYUNG TINA KIM (MD) hold?
Scheduling teams often label HUI-KYUNG TINA KIM (MD) under Dermatology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for HUI-KYUNG TINA KIM (MD)?
HUI-KYUNG TINA KIM (MD)'s geographic hint is Newport Beach, California in our summary view.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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