LEESHAH KIM – Anesthesiologist Assistant, NPI 1629640628
Anesthesiologist Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,383 ANESTHESIOLOGY ASSISTANT in GA
Provider Addresses for LEESHAH KIM
1 BISCAYNE DR NW UNIT 203
ATLANTA, GA 303091076
Phone: (404) 422-4367
Type: Mailing
1412 MILSTEAD AVE NE
CONYERS, GA 300123877
Phone: (770) 918-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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This can happen when there are no reportable CMS Open Payments records.
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: 2023-02-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210928002790 | I | Anesthesiology Assistant | GA | TBD |
| I20230213001161 | I | Anesthesiology Assistant | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 26 | 24 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 20 | 20 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 18 | 18 | $0 |
| 01922 | Anesthesia for x-ray or radiation therapy | 14 | 14 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 12 | 12 | $0 |
Insurance plans in this area (ZIP 30309)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | OH | |
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | IL | |
| Anesthesiology Assistant | NC | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| Anesthesiology Assistant | IN | |
| Anesthesiology Assistant | NV | |
| - | IN | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Anesthesiology Assistant | IN |
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