FADALIA D KIM (MD) – Child & Adolescent Psychiatry Physician, NPI 1285860643

FADALIA D KIM (MD) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 27133 (OK). The NPI Number for FADALIA D KIM (MD) is 1285860643

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
FADALIA D KIM (MD)
NPI
1285860643
Phone
(405) 271-5251
Address
920 Sl Young Blvd
Enumeration Date
29 May 2009
Last Update Date
19 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4052592333
Graduation Year
2009 (17 years ago)
PAC ID
8628265048
Group Practice PAC ID
9234547548
Professional Enrollment ID
I20101211000101
Address ID
OK731182416OK4220XBLVD404
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

363 PSYCHIATRY in OK

Provider Addresses for FADALIA D KIM (MD)

  • 920 Sl Young Blvd

    WP 3440

    Oklahoma City, OK 731045033

    Phone: (405) 271-5251

    Type: Location

  • 900 E Main St

    Norman, OK 730715305

    Phone: (405) 573-6602

    Type: Location

  • 13101 Memorial Springs Ct

    Oklahoma City, OK 731142226

    Phone: (405) 438-3000

    Type: Location

  • Washington Drive, Norman, Cleveland County, Oklahoma, 73069, United States

    NORMAN, OK 730691013

    Phone: (405) 400-1152

    Fax: (405) 217-4383

    Type: Location

  • Meadowlake Drive, Meadow Lake, Noble, Cleveland County, Oklahoma, 73068, United States

    NOBLE, OK 730688300

    Phone: (405) 271-5251

    Type: Mailing

  • 1105 SW 30TH CT

    MOORE, OK 731602887

    Phone: (405) 676-5114

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $481.

Total Amount is formed as General ($481) + Research ($0) + Ownership ($0) = $481.

Last reported payment date: 2024-08-30 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($481).

Total Amount

$481

General + Research + Ownership

Payments

4

Total payment records

General Amount

$481

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-30

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-12-11

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
I20101211000101IPsychiatryOKTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4124$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 73104)

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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: 9234547548View full group profile
NameSpecialtyState
Physician AssistantOK
Nurse PractitionerOK
Nurse PractitionerTX
Physician AssistantOK
Physician AssistantTX
Physician AssistantOK

Reviews

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Frequently asked questions

What unique ID ties claims to FADALIA D KIM (MD)?
NPI 1285860643 is assigned to FADALIA D KIM (MD) under the national enumeration system.
Is FADALIA D KIM (MD)'s NPI currently valid?
The extract we use shows FADALIA D KIM (MD) as active.
What does FADALIA D KIM (MD) treat or focus on?
Patients typically see FADALIA D KIM (MD) under the specialty Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location shows for FADALIA D KIM (MD)?
We surface Oklahoma City, Oklahoma for FADALIA D KIM (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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