DR. KELLY Y KIM (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1356309009

DR. KELLY Y KIM (M.D.) is a healthcare provider. based in Broomfield, Colorado. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 39876 (CO). The NPI Number for DR. KELLY Y KIM (M.D.) is 1356309009

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY Y KIM (M.D.)
NPI
1356309009
Phone
(303) 272-0751
Address
500 ELDORADO BLVD
Enumeration Date
3 May 2006
Last Update Date
19 April 2013

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
7315035292
Group Practice PAC ID
0840513552
Professional Enrollment ID
I20110202000657
Address ID
CO800213408BR500XXBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

498 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CO

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Provider Addresses for DR. KELLY Y KIM (M.D.)

  • Oracle, 500, Eldorado Boulevard, City and County of Broomfield, Colorado, 80020, United States

    SUITE 6250

    BROOMFIELD, CO 800213408

    Phone: (303) 272-0751

    Fax: (303) 318-2488

    Type: Mailing

  • 3655, Lutheran Parkway, Former Lutheran Medical Center Campus, Wheat Ridge, Jefferson County, Colorado, 80033, United States

    SUITE #201

    WHEAT RIDGE, CO 800336010

    Phone: (303) 603-9800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $4,570.

Total Amount is formed as General ($4,570) + Research ($0) + Ownership ($0) = $4,570.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Medtronic, Inc. ($4,517).

Total Amount

$4,570

General + Research + Ownership

Payments

42

Total payment records

General Amount

$4,570

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

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: 2011-02-02

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
I20110202000657ICardiovascular Disease (Cardiology)COTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only527361$0
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days409152$0
99213Established patient office or other outpatient visit, 20-29 minutes352262$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days296112$0
99214Established patient office or other outpatient visit, 30-39 minutes141109$0
View full utilization report →

Insurance plans in this area (ZIP 80021)

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Provider's Procedures

DR. KELLY Y KIM (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)CO93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report711585

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: 0840513552View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCO
-CA
-CO
Physician AssistantCO
Hospitalist, Family PracticeCO
-CO
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
O B S T E T R I C S/ G Y N E C O L O G YCO
-CO
-CO

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Frequently asked questions

What unique ID ties claims to DR. KELLY Y KIM (M.D.)?
NPI 1356309009 is assigned to DR. KELLY Y KIM (M.D.) under the national enumeration system.
Is DR. KELLY Y KIM (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. KELLY Y KIM (M.D.) work in?
You can think of DR. KELLY Y KIM (M.D.) as practicing within Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. KELLY Y KIM (M.D.)?
The snapshot lists Broomfield, Colorado for DR. KELLY Y KIM (M.D.); download NPPES for the complete set.
What if Broomfield, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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