Dr Benjamin Kim, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Salt Lake City, Utah. His current practice location is
1220 E 3900 S, 4f, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 268-8223.
Dr Benjamin Kim is licensed to practice in Utah (license number 1003810220) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487681102.
Physician's Profile
| Full Name | Dr Benjamin Kim |
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| Gender | Male |
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| Speciality | Colon & Rectal Surgery |
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| Location | 1220 E 3900 S, Salt Lake City, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487681102
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 3173694783
- Enrollment ID: I20100515000143
Medical Identifiers
Medical identifiers for Dr Benjamin Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487681102 | NPI | - | NPPES |
| 45948 | Other | UT | PEHP |
| 1700075 | Other | UT | UNITED HEALTH OF UTAH |
| QM0000033040 | Other | UT | ALTIUS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 1003810220 (Utah) | Secondary |
| 2086X0206X | Surgery - Surgical Oncology | 1003810220 (Utah) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 1003810220 (Utah) | Primary |
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. Dr Benjamin Kim allows following entities to bill medicare on his behalf.
| Entity Name | Multicare Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
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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. Dr Benjamin 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 Address | Practice Location Address |
Dr Benjamin Kim, MD 1220 E 3900 S, 4f, Salt Lake City, UT 84124-1327 Ph: (801) 268-8223 | Dr Benjamin Kim, MD 1220 E 3900 S, 4f, Salt Lake City, UT 84124-1327 Ph: (801) 268-8223 |
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