Haena Kim, MD - Medicare Otolaryngology in San Jose, CA

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Haena Kim, MD is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in San Jose, California. She graduated from medical school in 2002 and has 24 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 455 Oconnor Dr Ste 280, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (650) 507-3601.

Haena Kim is licensed to practice in California (license number A126331) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275799124.

Contact Information

Haena Kim, MD
455 Oconnor Dr Ste 280,
San Jose, CA 95128-1644
(650) 507-3601
(650) 396-7922

Map and Direction




Physician's Profile

Full NameHaena Kim
GenderFemale
SpecialityOtolaryngology
Experience24 Years
Location455 Oconnor Dr Ste 280, San Jose, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Haena Kim graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1275799124
  • Provider Enumeration Date: 07/31/2008
  • Last Update Date: 08/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7113182460
  • Enrollment ID: I20130807000150

Medical Identifiers

Medical identifiers for Haena Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275799124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YS0123XOtolaryngology - Facial Plastic Surgery A126331 (California)Primary
207YX0905XOtolaryngology - Otolaryngology/facial Plastic Surgery MD207073 (Oregon)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Permanente Medical Group Inc892191022510928

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. Haena Kim allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameJohn Muir Trauma Physicians Billing Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093864837
PECOS PAC ID: 3476542515
Enrollment ID: O20050420001452

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. Haena 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
Haena Kim, MD
455 Oconnor Dr Ste 280,
San Jose, CA 95128-1644

Ph: (650) 507-3601		Haena Kim, MD
455 Oconnor Dr Ste 280,
San Jose, CA 95128-1644

Ph: (650) 507-3601

Reviews and Comments


Otolaryngology Doctors in San Jose, CA

Dr. Hussein Amirali Samji, M.D.
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Jason A. Biller, MD
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Mary Lauren Lalakea, MD
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Michelle M. Inserra, MD
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Mauro B Ruffy, M.D.
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Phone: 408-871-3400    
Michael Timothy Purkey, MD
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Practice Location: 2581 Samaritan Dr, Suite 210, San Jose, CA 95124
Phone: 408-442-5090    Fax: 408-442-5091

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.