DR. ROBIN DAVIS KIM (MD) – Transplant Surgery Physician, NPI 1679519771

DR. ROBIN DAVIS KIM (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in Transplant Surgery Physician. They hold the professional credentials MD. They hold a License No. 7740089-1205 (UT). The NPI Number for DR. ROBIN DAVIS KIM (MD) is 1679519771

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBIN DAVIS KIM (MD)
NPI
1679519771
Phone
(801) 585-6140
Address
30 N 1900 E
Enumeration Date
20 June 2006
Last Update Date
3 November 2021

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
8015818915
Graduation Year
1996 (30 years ago)
PAC ID
4183643653
Group Practice PAC ID
0941525273
Professional Enrollment ID
I20101206000292

Contacts

Secure Messaging
rkim36131@direct.med.utah.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. ROBIN DAVIS KIM (MD)

  • 1900 East, Sugar House, Salt Lake City, Salt Lake County, Utah, 84109, United States

    SOM 3B110

    SALT LAKE CITY, UT 841320002

    Phone: (801) 585-6140

    Fax: (801) 587-9370

    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: 2010-12-06

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
I20101206000292IPediatric MedicineUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84132)

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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: 0941525273View full group profile
NameSpecialtyState
-UT
-UT
Emergency MedicineCO
-UT
A N E S T H E S I O L O G YUT
Physician AssistantUT
-IL
Plastic And Reconstructive SurgeryOH
Physician AssistantCA
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

What NPI should I save for DR. ROBIN DAVIS KIM (MD)?
Save NPI 1679519771 if you need a stable reference for DR. ROBIN DAVIS KIM (MD).
Is DR. ROBIN DAVIS KIM (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. ROBIN DAVIS KIM (MD)'s specialty in plain language?
Clinically, the directory lists DR. ROBIN DAVIS KIM (MD) with Transplant Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ROBIN DAVIS KIM (MD)'s primary listing?
We display Salt Lake City, Utah because that is what the record indicates for DR. ROBIN DAVIS KIM (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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