Michael Jae Bum Kim, DPM - Medicare Podiatrist in Rancho Cucamonga, CA

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Michael Jae Bum Kim, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Rancho Cucamonga, California. He went to Temple University School Of Podiatric Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 9353 Fairway View Pl Ste 100, Rancho Cucamonga, California. You can reach out to his office (for appointments etc.) via phone at (909) 858-2772.

Michael Jae Bum Kim is licensed to practice in California (license number E5294) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073951190.

Contact Information

Michael Jae Bum Kim, DPM
9353 Fairway View Pl Ste 100,
Rancho Cucamonga, CA 91730-0972
(909) 858-2772
(909) 300-6324

Map and Direction




Healthcare Provider's Profile

Full NameMichael Jae Bum Kim
GenderMale
SpecialityPodiatry
Experience11 Years
Location9353 Fairway View Pl Ste 100, Rancho Cucamonga, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Jae Bum Kim attended and graduated from Temple University School Of Podiatric Medicine in 2013
  NPI Data:
  • NPI Number: 1073951190
  • Provider Enumeration Date: 06/11/2013
  • Last Update Date: 02/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8325335870
  • Enrollment ID: I20160927001000

Medical Identifiers

Medical identifiers for Michael Jae Bum Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073951190NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 5901002476 (Michigan)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery E5294 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
San Antonio Regional HospitalUpland, CAHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael Jae Bum Kim allows following entities to bill medicare on his behalf.
Provider NameSouthern California Permanente Medical Group
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Provider NameFamily Foot Center Podiatry Group Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1235332396
PECOS PAC ID: 0042429375
Enrollment ID: O20150707000068
Provider NameMichael J Kim Dpm , Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1316665524
PECOS PAC ID: 5193192094
Enrollment ID: O20221107001050

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Jae Bum Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael Jae Bum Kim, DPM
9353 Fairway View Pl Ste 100,
Rancho Cucamonga, CA 91730-0972

Ph: (909) 858-2772		Michael Jae Bum Kim, DPM
9353 Fairway View Pl Ste 100,
Rancho Cucamonga, CA 91730-0972

Ph: (909) 858-2772

Reviews and Comments


Podiatrist in Rancho Cucamonga, CA

Providence Podiatry Care, Inc.
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 10621 Church St Ste 120, Rancho Cucamonga, CA 91730
Phone: 909-944-0481    Fax: 909-944-3161
Carrasco Podiatry Corporation
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 7196 Sunnyside Pl, Rancho Cucamonga, CA 91739
Phone: 951-212-6661    Fax: 909-987-3292
Dr. Pete Carrasco Jr., D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 7196 Sunnyside Pl, Rancho Cucamonga, CA 91739
Phone: 951-212-6661    Fax: 909-987-3292
Susanna Chan D.p.m., Inc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 8283 Grove Ave Ste 207b, Rancho Cucamonga, CA 91730
Phone: 909-500-3007    
Dr. Dhaval I Patel, D.P.M
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 10112 Foothill Blvd Unit 255, Rancho Cucamonga, CA 91730
Phone: 917-774-6768    
Albert Kim, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 8283 Grove Ave Ste 106, Rancho Cucamonga, CA 91730
Phone: 909-500-3007    Fax: 909-530-3007

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.