ADELINE KIM, MD

Pediatric Anesthesiology Physician · LOMA LINDA, CA

Individual Active NPI 1174907927

Medicare payment data Part B · 2023

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2023	23	23	$17,296	$2,507	$1,998

Taxonomy & licensure

Specialty	Code	Primary	License	State
Pediatric Anesthesiology Physician	207LP3000X	✓	A168156	CA
Student in an Organized Health Care Education/Training Program	390200000X		—	—

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: Yes
Hospice: Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.