Paul Myung Kim, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E5922 Issued in CA

Practice address

110 New Stine Rd
Bakersfield, CA 93309-2605

Phone

(661) 832-1667

Fax

(661) 832-7145

NPI assigned

Apr 23, 2020

Last updated

Jun 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Western Un of HLTH Sciences, Col of Podiatric Med, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stockdale Podiatry Group IncGroup PAC ID 0143282715, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Hospital, Bakersfield, CA, CCN 050295
• Sierra View Medical Center Hospital, Porterville, CA, CCN 050261

Merit-based Incentive Payment System (MIPS)

Final score

81.19 of 100Reported as group

Quality

43.37

Improvement activities

40

Cost

79.49

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Stockdale Podiatry Group Inc

  • Foot & Ankle Surgery Podiatrist
  • Bakersfield, CA
  • NPI 1013013002
  Medicare reassignment Care Compare group NPD
• Nora Medical Inc

  • Adult Medicine Physician
  • Bakersfield, CA
  • NPI 1033693734
  NPD (past)

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

• Dignity Health

  dba Mercy Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  Care Compare affiliation
• Sierra View Local Health Care District

  dba Sierra View Medical Center

  • General Acute Care Hospital
  • Porterville, CA
  • NPI 1639143381
  Care Compare affiliation

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1700406311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NEW STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092605",
            "telephone_number": "661-832-1667",
            "fax_number": "661-832-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NEW STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092605",
            "telephone_number": "661-832-1667",
            "fax_number": "661-832-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "PAUL",
        "middle_name": "MYUNG",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-23",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jinsun Kim, MD
• Joo R Kim, M.D.
• Kyung Kim, MD
• Michelle Kim, O.D.
• Minjung Kim, CRNA
• Peter D Kim, DDS
• Peter M Kim, DMD
• Sarah Kim
• Serena Yeseul Kim, PHARM D
• Solomon Kim, DPM

• Foot & Ankle Surgery Podiatrist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.