Kisung Kim, BM
NPI 1073939815 · Pediatric Adolescent Medicine Physician · Red Bluff, CA
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kisung Kim, BM is a Pediatric Adolescent Medicine Physician provider in Red Bluff, CA (NPI 1073939815).
Provider details
- NPI number
- 1073939815
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- BM
- Sex
- Male
- Sole proprietor
- No
- License
- A141207 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-03-17
- Last updated
- 2019-04-03
Frequently asked questions
- What is Kisung Kim's NPI number?
- Kisung Kim's National Provider Identifier (NPI) is 1073939815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kisung Kim's specialty?
- Kisung Kim is listed in the NPPES registry with a primary specialty of Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kisung Kim located?
- Kisung Kim's practice location on file with NPPES is 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356.
- What is Kisung Kim's phone number?
- The practice phone number listed in the NPPES registry for Kisung Kim is (530) 527-0414.
- Does Kisung Kim accept Medicare?
- Kisung Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kisung Kim's NPI active?
- Yes — Kisung Kim's NPI (1073939815) is active in the NPPES registry as of the last update on 2019-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.