PETER S KIM (MD) – Cardiovascular Disease Physician, NPI 1982818720
Cardiovascular Disease Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,010 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CA
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Provider Addresses for PETER S KIM (MD)
1855 S MAIN ST
SUITE A, HEART & VASCULAR CENTER
GOSHEN, IN 465264852
Phone: (574) 533-7476
Fax: (574) 533-7145
Type: Mailing
Kaiser Permanente Sacramento Medical Center, 2025, Morse Avenue, Arden-Arcade, Sacramento County, California, 95825, United States
SACRAMENTO, CA 958252115
Phone: (916) 973-5282
Type: Location
1855, South Main Street, Parkside, Goshen, Elkhart County, Indiana, 46526, United States
SUITE A, HEART & VASCULAR CENTER
GOSHEN, IN 465264723
Phone: (574) 533-7476
Fax: (574) 533-7145
Type: Mailing
1855 S Main St
Suite A, Heart & Vascular Center
Goshen, IN 465264852
Phone: (574) 533-7476
Fax: (574) 533-7145
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $141.
Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.
Last reported payment date: 2023-11-28 • Largest payer in this snapshot: Stryker Corporation ($120).
Total Amount
$141
General + Research + Ownership
Payments
2
Total payment records
General Amount
$141
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $120 |
| Boston Scientific Corporation | $21 |
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: 2017-09-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170913003359 | I | Cardiovascular Disease (Cardiology) | CA | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 120 | 108 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 41 | 41 | $0 |
Insurance plans in this area (ZIP 46526)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | DC | |
| Colorectal Surgery (Proctology), General Surgery | LA | |
| - | CA | |
| N E U R O S U R G E R Y | MA | |
| Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Emergency Medicine | CA | |
| - | MA | |
| Emergency Medicine | CA |
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