DR. ELIJAH KIM (M.D.) – Surgical Critical Care Physician, NPI 1003045097

DR. ELIJAH KIM (M.D.) is a healthcare provider. based in Sarasota, Florida. specializing in CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. ME152670 (FL). The NPI Number for DR. ELIJAH KIM (M.D.) is 1003045097

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELIJAH KIM (M.D.)
NPI
1003045097
Phone
(941) 917-7000
Address
1700 S TAMIAMI TRL
Enumeration Date
10 July 2009
Last Update Date
19 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9419171579
Graduation Year
2009 (17 years ago)
PAC ID
0840500906
Group Practice PAC ID
1355240177
Professional Enrollment ID
I20211006000335
Address ID
FL342392941SA1921XSTXX312
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness85
Years active:16State licenses:4Digital endpointsOther names

1,454 CRITICAL CARE (INTENSIVISTS) in FL

Provider Addresses for DR. ELIJAH KIM (M.D.)

  • 1700 S TAMIAMI TRL

    SARASOTA, FL 342393555

    Phone: (941) 917-7000

    Type: Mailing

  • 1500 SW 1st Ave

    Ocala, FL 344716516

    Phone: (407) 303-7283

    Type: Location

  • HSHS Saint John's Hospital, 800, East Carpenter Street, Springfield, Sangamon County, Illinois, 62769, United States

    SPRINGFIELD, IL 62769

    Phone: (217) 528-7541

    Type: Location

  • 1230, Favell Drive, Whitehaven, Memphis, Shelby County, West Tennessee, Tennessee, 38116, United States

    MEMPHIS, TN 381165114

    Phone: (917) 224-6785

    Type: Mailing

  • 1324 LAKELAND HILLS BLVD

    LAKELAND, FL 338054543

    Phone: (863) 687-1100

    Fax: (863) 630-6528

    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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Teleflex LLC ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Teleflex LLC$16
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: 2021-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 8 Medicare enrollment records; no due dates published yet.

Enrollment records

8

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
I20151103000186IGeneral SurgeryTNTBD
I20170728000220ICritical Care (Intensivists)MSTBD
I20190827003847ICritical Care (Intensivists)NDTBD
I20191011000051IGeneral SurgeryOKTBD
I20201215003429ICritical Care (Intensivists)NJTBD
I20210427002705ICritical Care (Intensivists)GATBD
I20211006000335ICritical Care (Intensivists)FLTBD
I20211018002555IGeneral SurgeryNYTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8158$0
99291Critical care, first 30-74 minutes7262$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5151$0
99284Emergency department visit with moderate level of medical decision making4343$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3535$0
View full utilization report →

Insurance plans in this area (ZIP 34239)

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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: 1355240177View full group profile
NameSpecialtyState
N E U R O L O G YFL
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists)FL
Pulmonary Disease, Internal MedicinePA
-FL
-FL
Cardiovascular Disease (Cardiology)FL
Pulmonary Disease, Critical Care (Intensivists)NM
Certified Registered Nurse Anesthetist (Crna)FL
-FL

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Frequently asked questions

Is there an official ID for DR. ELIJAH KIM (M.D.) in U.S. healthcare records?
The official identifier for DR. ELIJAH KIM (M.D.) is NPI 1003045097.
Is DR. ELIJAH KIM (M.D.) shown as active in public data?
Registry records indicate DR. ELIJAH KIM (M.D.) maintains an active NPI.
How would a patient describe DR. ELIJAH KIM (M.D.)'s focus?
For DR. ELIJAH KIM (M.D.), the primary taxonomy reads as Surgical Critical Care Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is DR. ELIJAH KIM (M.D.) registered?
Use Sarasota, Florida as the headline location for DR. ELIJAH KIM (M.D.) here.
Does DR. ELIJAH KIM (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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