KEVIN HYUNGWOO KIM M.D./PH.D.
NPI 1063755734
Dermatology in San Rafael, CA
NPI Status: Active since April 01, 2013
Contact Information
99 MONTECILLO RD
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 444-2000
- Individual
- Male
- Dermatology
- PECOS Enrolled
About KEVIN KIM
This page provides the complete NPI Profile along with additional information for Kevin Kim, a provider established in San Rafael, California with a medical specialization in Dermatology. The healthcare provider is registered in the NPI registry with number 1063755734 assigned on April 2013. The practitioner's primary taxonomy code is 207N00000X with license number A152384 (CA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1063755734
- Provider Name
- KEVIN HYUNGWOO KIM M.D./PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 99 MONTECILLO RD SAN RAFAEL, CA 94903
- Location Phone
- (415) 444-2000
- Mailing Address
- 99 MONTECILLO RD SAN RAFAEL, CA 94903
- Mailing Phone
- (415) 444-2000
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-01-2013
- Last Update Date
- 02-11-2022
- Code Navigator
A dermatologist like Kevin Kim is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A152384
- License State
- CA
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Medicare Participation & PECOS Enrollment Status
Kevin Kim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 94903 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $104.67
- Minimum New Patient Price $69.07
- Maximum New Patient Price $202.63
- Average New Patient Copayment $26.16
- Minimum New Patient Copayment $17.26
- Maximum New Patient Copayment $50.65
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $85
- Minimum Established Patient Price $23.44
- Maximum Established Patient Price $166.64
- Average Established Patient Copayment $21.25
- Minimum Established Patient Copayment $5.86
- Maximum Established Patient Copayment $41.66
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 7 | 5 | 5 | 7 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 14 | 5 | 10 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 1 + 4 + 5 + 1 + 0 + 7 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1063755734 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225052764 | SUSAN E PUORRO CRNA Individual | Registered Nurse | 99 MONTECILLO RD SAN RAFAEL, CA 94903 (415) 479-0226 |
| 1215945357 | KATHRYN GIVENS HILL MSN, RN, APRN-BC FNP Individual | Nurse Practitioner (Family) | 99 MONTECILLO RD PLASTIC SURGERY CLINIC, 1ST FLOOR SAN RAFAEL, CA 94903 (415) 444-2000 |
| 1538278494 | MS. THEA D CARY NP Individual | Nurse Practitioner (Adult Health) | 99 MONTECILLO RD SAN RAFAEL, CA 94903 (415) 444-4686 |
| 1902915168 | REBECCA ANNE SHELLEY NP Individual | Nurse Practitioner (Adult Health) | 99 MONTECILLO RD SURGERY CLINIC, 2ND FLOOR SAN RAFAEL, CA 94903 (415) 444-2590 |
| 1083707657 | PAMELA SORENSEN F.N.P. Individual | Nurse Practitioner (Family) | 99 MONTECILLO RD SAN RAFAEL, CA 94903 (415) 444-4620 |
| 1477646156 | CHARLES S YONG PHARM D Individual | Pharmacist | 99 MONTECILLO RD SAN RAFAEL, CA 94903 (415) 444-4882 |
| 1366536369 | DR. SUSAN LYNNE GESS PHARM.D. Individual | Pharmacist | 99 MONTECILLO RD SAN RAFAEL, CA 94903 (415) 444-2338 |
| 1932293636 | LANCE BENEDICT NP Individual | Nurse Practitioner (Acute Care) | 99 MONTECILLO RD SAN RAFAEL, CA 94903 (415) 444-4927 |
| 1104910819 | BARBARA BEHRENS RN,MSN, FNP, MPH Individual | Nurse Practitioner (Family) | 99 MONTECILLO RD DERMATOLOGY SAN RAFAEL, CA 94903 (415) 444-2615 |
| 1093804007 | JUDITH A OBEDZINSKI NP Individual | Nurse Practitioner (Obstetrics & Gynecology) | 99 MONTECILLO RD SAN RAFAEL, CA 94903 (415) 444-2246 |
| 1548350416 | TERRY S CARR NP Individual | Nurse Practitioner (Adult Health) | 99 MONTECILLO RD SAN RAFAEL, CA 94903 (415) 444-2000 |
| 1972685865 | SILVIA BRADY PHARM.D. Individual | Pharmacist (Oncology) | 99 MONTECILLO RD MOB ONE INFUSION CLINIC SAN RAFAEL, CA 94903 (415) 444-4952 |
| 1518041706 | MS. LINDA HUMPHREY NP Individual | Nurse Practitioner (Obstetrics & Gynecology) | 99 MONTECILLO RD SAN RAFAEL, CA 94903 (415) 444-4440 |
| 1871677856 | EDWARD W. BANKS MD Individual | Surgery | 99 MONTECILLO RD SAN RAFAEL, CA 94903 (415) 444-2000 |
| 1629152616 | OTTO A. VON FRANQUE MD Individual | Pediatrics | 99 MONTECILLO RD SAN RAFAEL, CA 94903 (415) 444-2000 |
| 1134203136 | JEFFREY S. HARRIS MD Individual | Internal Medicine | 99 MONTECILLO RD SAN RAFAEL, CA 94903 (415) 444-2000 |
| 1356425425 | J. BRIAN DELFANTI MD Individual | Otolaryngology | 99 MONTECILLO RD SAN RAFAEL, CA 94903 (415) 444-2000 |
| 1174607246 | RONALD F. GAINES MD Individual | Physical Medicine & Rehabilitation | 99 MONTECILLO RD SAN RAFAEL, CA 94903 (415) 444-2000 |
| 1891879961 | FRANCOIS S. ANTOUNIAN MD Individual | Orthopaedic Surgery | 99 MONTECILLO RD SAN RAFAEL, CA 94903 (415) 444-2000 |
| 1619051786 | ELIOR VAS MD Individual | Psychiatry & Neurology (Psychiatry) | 99 MONTECILLO RD SAN RAFAEL, CA 94903 (415) 444-2000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063755734, enumerated in the NPI registry as an "individual" on April 01, 2013
The provider is located at 99 Montecillo Rd San Rafael, Ca 94903 and the phone number is (415) 444-2000
The provider's speciality is Dermatology with taxonomy code 207N00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $104.67 with an average copayment of $26.16 for new patient appointments. Established patients should expect a typical charge of $85 and an average copayment of 21.25. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 01, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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