GEORGE S KIM (MD) – Emergency Medicine Physician, NPI 1528068475

GEORGE S KIM (MD) is a healthcare provider. based in South bend, Indiana. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4301510325 (MI). The NPI Number for GEORGE S KIM (MD) is 1528068475

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
GEORGE S KIM (MD)
NPI
1528068475
Phone
(574) 271-2558
Address
4755 AMERITECH DR
Enumeration Date
21 July 2005
Last Update Date
14 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2692781145
Graduation Year
2001 (25 years ago)
PAC ID
5092703587
Group Practice PAC ID
6608056171
Professional Enrollment ID
I20250520000997
Address ID
MI490938352TH701XXPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,266 EMERGENCY MEDICINE in IN

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Provider Addresses for GEORGE S KIM (MD)

  • 4755, Ameritech Drive, South Bend, Saint Joseph County, Indiana, 46628, United States

    SUITE A

    SOUTH BEND, IN 466289120

    Phone: (574) 271-2558

    Fax: (574) 273-1137

    Type: Mailing

  • Elkhart General Hospital, 600, East Boulevard, Elkhart, Elkhart County, Indiana, 46514, United States

    ELKHART, IN 465142483

    Phone: (574) 294-2621

    Fax: (574) 273-1137

    Type: Location

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 $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: ABBVIE INC. ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$32
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: 2025-05-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041002000175IEmergency MedicineINTBD
I20250520000997IEmergency MedicineMITBD

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
99285Emergency department visit with high level of medical decision making249243$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only230221$0
99284Emergency department visit with moderate level of medical decision making8585$0
99291Critical care, first 30-74 minutes5150$0
View full utilization report →

Insurance plans in this area (ZIP 46628)

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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: 6608056171View full group profile
NameSpecialtyState
Emergency MedicineMI
Physician AssistantMI
Emergency MedicineWI
Emergency MedicineNH
Family Practice, Emergency MedicineNC
Physician AssistantOR
Emergency MedicineIL
Emergency MedicineIN
Emergency MedicineTN
-OR

Reviews

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Frequently asked questions

Is there an official ID for GEORGE S KIM (MD) in U.S. healthcare records?
The official identifier for GEORGE S KIM (MD) is NPI 1528068475.
Would GEORGE S KIM (MD) appear as active to a payer?
You can treat GEORGE S KIM (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to GEORGE S KIM (MD)?
GEORGE S KIM (MD)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for GEORGE S KIM (MD)?
Travel planning: use South Bend, Indiana as the reference point for GEORGE S KIM (MD), then confirm.
Does GEORGE S KIM (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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