DR. KENT C KIM (D.O.) – Emergency Medicine Physician, NPI 1457799041

DR. KENT C KIM (D.O.) is a healthcare provider. based in Farmington hills, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 25MB10074100 (NJ). The NPI Number for DR. KENT C KIM (D.O.) is 1457799041

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENT C KIM (D.O.)
NPI
1457799041
Phone
(248) 943-5092
Address
29888 KENLOCH DR
Enumeration Date
5 June 2013
Last Update Date
15 October 2018

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Secondary Phone
9086871900
Graduation Year
2013 (13 years ago)
PAC ID
8921377383
Group Practice PAC ID
0547334427
Professional Enrollment ID
I20170629000025
Address ID
NJ070837989UN1000XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

Provider Addresses for DR. KENT C KIM (D.O.)

  • 29888 KENLOCH DR

    FARMINGTON HILLS, MI 483311920

    Phone: (248) 943-5092

    Mailing address matches the actual address.

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: 2017-06-29

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
I20170629000025IEmergency MedicineNJTBD

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 making2020$0
99284Emergency department visit with moderate level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 48331)

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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: 0547334427View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. KENT C KIM (D.O.)?
The registry entry for DR. KENT C KIM (D.O.) shows NPI 1457799041.
Is DR. KENT C KIM (D.O.)'s NPI status active today?
Active status means DR. KENT C KIM (D.O.)'s NPI record is not deactivated in the public file.
How should patients interpret DR. KENT C KIM (D.O.)'s specialty?
The extract shows Emergency Medicine Physician for DR. KENT C KIM (D.O.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. KENT C KIM (D.O.)?
The directory associates DR. KENT C KIM (D.O.) with Farmington Hills, Michigan. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. KENT C KIM (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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