KRISTIN ELIZABETH KIM (M.D.) – Anesthesiology Physician, NPI 1093109514

KRISTIN ELIZABETH KIM (M.D.) is a healthcare provider. based in Indianapolis, Indiana. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 01082220A (IN). The NPI Number for KRISTIN ELIZABETH KIM (M.D.) is 1093109514

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN ELIZABETH KIM (M.D.)
NPI
1093109514
Phone
(713) 274-4343
Address
1130 W MICHIGAN ST
Enumeration Date
23 March 2015
Last Update Date
1 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
3072812007
Group Practice PAC ID
6406753623
Professional Enrollment ID
I20211027001381
Address ID
FL336076307TA3003XBLVD800

Contacts

Secure Messaging
kristin.kimMD@direct.mybaycare.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:11State licenses:2Other namesUpdated within 12 months

1,446 ANESTHESIOLOGY in IN

Provider Addresses for KRISTIN ELIZABETH KIM (M.D.)

  • 1130 W MICHIGAN ST

    FESLER HALL 204

    INDIANAPOLIS, IN 462025209

    Phone: (713) 274-4343

    Type: Mailing

  • 1402 E County Line Rd

    Indianapolis, IN 462270963

    Phone: (317) 887-7000

    Type: Location

  • 22 S Greene St # S11C

    Baltimore, MD 212011544

    Phone: (410) 328-1239

    Type: Location

  • 2995 DREW ST

    CLEARWATER, FL 337593012

    Phone: (727) 315-7496

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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: 2021-10-27

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
I20211027001381IAnesthesiologyFLTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3636$0
01922Anesthesia for x-ray or radiation therapy1717$0
00811Anesthesia for other procedure on large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 46202)

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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

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Frequently asked questions

Can I use this page to confirm KRISTIN ELIZABETH KIM (M.D.)'s NPI?
Yes. KRISTIN ELIZABETH KIM (M.D.) is listed with NPI 1093109514 in the public NPI dataset.
Is KRISTIN ELIZABETH KIM (M.D.) listed as active for patients and plans?
The listing shows KRISTIN ELIZABETH KIM (M.D.) as active in the NPI system.
What healthcare role does KRISTIN ELIZABETH KIM (M.D.) hold?
Scheduling teams often label KRISTIN ELIZABETH KIM (M.D.) under Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What area does KRISTIN ELIZABETH KIM (M.D.) serve?
KRISTIN ELIZABETH KIM (M.D.)'s listing highlights Indianapolis, Indiana; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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