PETER KIM MD
NPI 1750902003
Family Medicine in Los Angeles, CA

NPI Status: Active since April 28, 2020

Contact Information

808 W 58TH ST
LOS ANGELES, CA
ZIP 90037
Phone: (323) 541-1600
Fax: (323) 541-1661

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  • Individual
  • Male
  • Years of Experience 6
  • Family Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About PETER KIM

This page provides the complete NPI Profile along with additional information for Peter Kim, a primary care provider established in Los Angeles, California with a medical specialization in Family Medicine and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1750902003 assigned on April 2020. The practitioner's primary taxonomy code is 207Q00000X with license number A185019 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1750902003
Provider Name
PETER KIM MD
Gender
Male
Entity Type
Individual
Location Address
808 W 58TH ST LOS ANGELES, CA 90037
Location Phone
(323) 541-1600
Location Fax
(323) 541-1661
Mailing Address
3231 EUCLID AVE FL 5 BERWYN, IL 60402
Mailing Phone
(708) 783-2000
Mailing Fax
(323) 541-1661
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
04-28-2020
Last Update Date
06-20-2023
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A primary care provider (PCP) like Peter Kim sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
A185019
License State
CA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Medicare Participation & PECOS Enrollment Status

Peter Kim is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Peter 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

  • PECOS PAC ID: 6901216654

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231017002599

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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 typical physician office visit costs for Medicare beneficiaries in this area are: $24.09 for a new patient copayment and $27.49 for an established patient copayment.

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 90037 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $96.36
  • Minimum New Patient Price $62.96
  • Maximum New Patient Price $187.6
  • Average New Patient Copayment $24.09
  • Minimum New Patient Copayment $15.74
  • Maximum New Patient Copayment $46.9

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $109.96
  • Minimum Established Patient Price $20.84
  • Maximum Established Patient Price $153.61
  • Average Established Patient Copayment $27.49
  • Minimum Established Patient Copayment $5.21
  • Maximum Established Patient Copayment $38.4

* 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.

Reviews for PETER KIM MD

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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.
1750902003
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100180400
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 8 + 0 + 4 + 0 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1750902003 is valid because the calculated check digit 3 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
1306169057 JOANNA CHOI MD
Individual
Pediatrics808 W 58TH ST
LOS ANGELES, CA 90037
(323) 541-1616
1093065088 FELICIA KUO PA-C
Individual
Physician Assistant808 W 58TH ST
LOS ANGELES, CA 90037
(323) 541-1411
1720279060DR. YOUSEF TURSHANI M.D.
Individual
Pediatrics808 W 58TH ST
LOS ANGELES, CA 90037
(323) 541-1600
1629310057MS. JEHAN E REAGAN FNP
Individual
Nurse Practitioner (Family)808 W 58TH ST
LOS ANGELES, CA 90037
(323) 541-1411
1639348261MS. LAKESHA B JOHNSON P.A.-C
Individual
Physician Assistant808 W 58TH ST 2ND FLOOR
LOS ANGELES, CA 90037
(323) 541-1600
1689817892MS. AELA PAIZ DO
Individual
Obstetrics & Gynecology808 W 58TH ST
LOS ANGELES, CA 90037
(323) 541-1600
1962792192DR. RICHARD ALAN BRUCKER MD
Individual
Pediatrics808 W 58TH ST FRAYSER BUILDING
LOS ANGELES, CA 90037
(323) 541-1600
1750719993 MARIANA HERRERA
Individual
Marriage & Family Therapist808 W 58TH ST
LOS ANGELES, CA 90037
(323) 541-1600
1588056774 IVY MARX R.D.
Individual
Dietitian, Registered808 W 58TH ST
LOS ANGELES, CA 90037
(323) 541-1600
1043600588 KEISHA NERISE CONWRIGHT FNP
Individual
Nurse Practitioner (Family)808 W 58TH ST
LOS ANGELES, CA 90037
(323) 541-1600
1568842706 HSIN-YING LIN
Individual
Nurse Practitioner (Family)808 W 58TH ST
LOS ANGELES, CA 90037
(323) 541-1600
1073993879 JENNIFER JOY ZUCKERMAN N.P.
Individual
Nurse Practitioner (Family)808 W 58TH ST 2ND FLOOR
LOS ANGELES, CA 90037
(323) 541-1600
1841411931MR. RICHARD JAY ROBINSON PA-C
Individual
Physician Assistant808 W 58TH ST
LOS ANGELES, CA 90037
(323) 541-1600
1629382296 RACHEL JONES NP
Individual
Nurse Practitioner (Family)808 W 58TH ST
LOS ANGELES, CA 90037
(323) 541-1600
1295819464DR. SAM NIRUYI DDS
Individual
Dentist808 W 58TH ST
LOS ANGELES, CA 90037
(323) 541-1600
1497125272 VICTORIA GANTAR C.R.T (R)(M)(F)
Individual
Radiologic Technologist (Mammography)808 W 58TH ST
LOS ANGELES, CA 90037
(323) 541-1600
1447611785 WENDY ANN SILVA
Individual
Nurse Practitioner (Pediatrics)808 W 58TH ST
LOS ANGELES, CA 90037
(760) 504-9625
1083866438 BEATRICE GERMAIN M.D.
Individual
Pediatrics808 W 58TH ST ST JOHN'S WELL CHILD & FAMILY CLINIC
LOS ANGELES, CA 90037
(323) 541-1600
1679790638KOUROSH MICHAEL BERAL DDS INC
Organization
Clinic/Center (Dental)808 W 58TH ST
LOS ANGELES, CA 90037
(323) 541-1600
1598113441 BUKOLA DEBORAH OLUSANYA
Individual
Nurse Practitioner (Family)808 W 58TH ST
LOS ANGELES, CA 90037
(323) 541-1600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750902003, enumerated in the NPI registry as an "individual" on April 28, 2020

The provider is located at 808 W 58th St Los Angeles, Ca 90037 and the phone number is (323) 541-1600

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider has more than 6 years of experience.

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 $96.36 with an average copayment of $24.09 for new patient appointments. Established patients should expect a typical charge of $109.96 and an average copayment of 27.49. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on April 28, 2020. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.