Individual provider Active NPI

Alice May Kim, D.O.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1679736854
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A12182 Issued in CA
Practice address
221 E Cullerton St
Apt 1021
Chicago, IL 60616-1386
Phone
(510) 292-8199
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A12182 CA Primary

Addresses

Primary practice location

221 E Cullerton St
Apt 1021
Chicago, IL 60616-1386

Mailing address

2 Woodside CT
Danville, CA 94506-1139
Phone (510) 292-8199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120711000391 CA Practitioner - Emergency Medicine 6103081435 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

1205 E N St
Manteca, CA 95336-4932
Phone (209) 823-3111

Hospital & facility affiliations

  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179
  • Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118
  • St Rose Hospital Hospital, Hayward, CA, CCN 050002
  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464
  • San Joaquin General Hospital Hospital, French Camp, CA, CCN 050167

Merit-based Incentive Payment System (MIPS)

Final score
82.7 of 100Reported as group
Quality
57.11
Promoting interoperability
100
Improvement activities
40
Cost
73.85

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-California Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Pleasanton Emergency Medical Group Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Altamont Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients

Locations

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

4000 Dublin Blvd
Dublin, CA 94568
Phone (510) 498-2374

4000 Dublin Blvd
Ste 150
Dublin, CA 94568
Phone (813) 732-7842

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

1133 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4500

1111 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4018

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

450 Glass Ln
Ste C
Modesto, CA 95356

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

1420 N Tracy Blvd
Tracy, CA 95376
Phone (209) 832-6018

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Interoperability endpoints

  • Direct secure messaging: akim126144@hisp.ehr.sutterhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1679736854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WOODSIDE CT",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945061139",
            "telephone_number": "510-292-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E CULLERTON ST",
            "address_2": "APT 1021",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161386",
            "telephone_number": "510-292-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ALICE",
        "middle_name": "MAY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A12182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.