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Dr. Jeonghoon Kim , MD

Pediatrics β€’ Red Bluff, CA

Active NPI 1548755754 Individual Practitioner Male Practitioner
Practice location in NPPES

2450 Sister Mary Columba Dr
Red Bluff, CA 960804356

Call 5305270414 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2450 Sister Mary Columba Dr

Red Bluff, CA 960804356

Telephone 5305270414
Organization at the Same NPPES Address or Phone
Lassen Medical Group Inc Facility NPI 1003955758

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Kim has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Kim as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Red Bluff and California

10 active clinicians are listed under Pediatrics with a practice address in Red Bluff, CA (9,280 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-08-24
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES CA A174213

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20210812001659

Enrollment State Jurisdiction

CA

PECOS Control ID

1850795899

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

29 listed
NPI 1659352219

Doctor of Osteopathic Medicine (D.O.)

NPI 1902003734

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Saeid Ahmadpour , MD

Internal Medicine

NPI 1295715340

Doctor of Medicine (M.D.)

Natalie Beeman , PA

Physician Assistant

NPI 1710175930

Physician Assistant

Dr. Linette Calvo , MD

Emergency Medicine

NPI 1649366691

Doctor of Medicine (M.D.)

Julia Charlesworth , FNP

Nurse Practitioner - Family

NPI 1780953273

Family Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 24, 2021

Registered at 2450 SISTER MARY COLUMBA DR, RED BLUFF, CA 960804356 (Tel: 5305270414)

πŸ“
Updated Business Mailing Address August 24, 2021

Registered at 2450 SISTER MARY COLUMBA DR, RED BLUFF, CA 960804356

βœ…
NPI Profile Active June 29, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 29, 2018

Registered at 450 CLARKSON AVE # 59, BROOKLYN, NY 112032012 (Tel: 7182701000)

πŸ“
Business Mailing Address (Initial Record) June 29, 2018

Registered at 450 CLARKSON AVE # 59, BROOKLYN, NY 112032012

πŸ‘€
Provider Name / Credentials (Initial Record) June 29, 2018

Recorded as JEONGHOON KIM, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2018

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 29, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1548755754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2018
Last Update: August 24, 2021
Sole Proprietor: No

Mailing Address

2450 Sister Mary Columba Dr

Red Bluff, CA 960804356

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.