MINJOO KIM (DO) – Family Medicine Physician, NPI 1023478815

MINJOO KIM (DO) is a healthcare provider. based in Clearwater, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. S0925 (TX). The NPI Number for MINJOO KIM (DO) is 1023478815

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MINJOO KIM (DO)
NPI
1023478815
Phone
Not provided
Address
2995 DREW ST FL 2
Enumeration Date
7 March 2016
Last Update Date
4 June 2026

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Secondary Phone
9412261435
Graduation Year
2016 (10 years ago)
PAC ID
5395077978
Group Practice PAC ID
6406753623
Professional Enrollment ID
I20220708003374
Address ID
FL342211318PA5029XEXXX400
Telehealth
Yes

Contacts

Secure Messaging
Minjoo.KimDO@direct.mybaycare.org
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness95
Years active:10State licenses:2Other names

6,723 FAMILY PRACTICE in FL

Provider Addresses for MINJOO KIM (DO)

  • 2995 DREW ST FL 2

    CLEARWATER, FL 337593012

    Phone:

    Type: Mailing

  • 5029 96TH ST E

    PALMETTO, FL 342211318

    Phone: (941) 226-1435

    Fax: (941) 226-1437

    Type: Location

  • Palmetto General Hospital, 2001, West 68th Street, Hialeah, Miami-Dade County, Florida, 33015, United States

    SUITE 202

    HIALEAH, FL 330161801

    Phone:

    Type: Mailing

  • 131 S PEBBLE BEACH BLVD

    SUN CITY CENTER, FL 335735791

    Phone: (813) 535-6441

    Fax: (813) 605-6149

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $891.

Total Amount is formed as General ($891) + Research ($0) + Ownership ($0) = $891.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($312).

Total Amount

$891

General + Research + Ownership

Payments

56

Total payment records

General Amount

$891

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2022-07-08

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
I20220708003374IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes13475$0
99204New patient office or other outpatient visit, 45-59 minutes6767$0
99213Established patient office or other outpatient visit, 20-29 minutes5541$0
G0008Administration of influenza virus vaccine4242$0
90662Influenza vaccine split virus, preservative free4040$0
View full utilization report →

Insurance plans in this area (ZIP 33759)

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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: 6406753623View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference MINJOO KIM (DO)?
For MINJOO KIM (DO), use NPI 1023478815 as the unique 10-digit identifier.
Is MINJOO KIM (DO) still an active registrant?
MINJOO KIM (DO) carries an active NPI according to the public dataset.
What kind of doctor is MINJOO KIM (DO)?
MINJOO KIM (DO) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is MINJOO KIM (DO) associated with Clearwater?
Public fields place MINJOO KIM (DO) around Clearwater, Florida. Always confirm the exact site before visiting.
Does MINJOO KIM (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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