DR. TAE WHANG KIM (M.D.) – Anesthesiology Physician, NPI 1396737359
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
969 ANESTHESIOLOGY in MN
Provider Addresses for DR. TAE WHANG KIM (M.D.)
420 DELAWARE ST SE
MMC 294
MINNEAPOLIS, MN 554550341
Phone: (612) 273-3000
Fax: (612) 273-4370
Type: Mailing
500 HARVARD ST SE
MINNEAPOLIS, MN 554550363
Phone: (612) 273-3000
Fax: (612) 273-4370
Type: Location
500 Harvard St SE
Minneapolis, MN 554550363
Phone: (612) 273-3000
Fax: (612) 273-4370
Type: Location
6720 BERTNER AVE
HOUSTON, TX 770302604
Phone: (832) 355-2666
Type: Mailing
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 $128.
Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.
Last reported payment date: 2024-03-27 • Largest payer in this snapshot: Apellis Pharmaceuticals, Inc. ($128).
Total Amount
$128
General + Research + Ownership
Payments
1
Total payment records
General Amount
$128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Apellis Pharmaceuticals, Inc. | $128 |
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: 2025-06-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20041123000373 | I | Anesthesiology | TX | TBD |
| I20140604000447 | I | Anesthesiology | MN | TBD |
| I20221007001956 | I | Anesthesiology | VA | TBD |
| I20250617002511 | I | Anesthesiology | NY | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 198 | 186 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 70 | 70 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 32 | 32 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 22 | 21 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 21 | 21 | $0 |
Insurance plans in this area (ZIP 55455)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | PA | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| A N E S T H E S I O L O G Y | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| A N E S T H E S I O L O G Y | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| A N E S T H E S I O L O G Y | IA | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| A N E S T H E S I O L O G Y | MN |
Reviews
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