Ryan Kim, DO in Roseville, CA - Medicare Family Practice

Ryan Kim, DO is a medicare enrolled "Family Medicine" physician in Roseville, California. He graduated from medical school in 2008 and has 18 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Permanente Medical Group Inc, Sutter Valley Medical Foundation, Southern California Permanente Medical Group, Sutter Bay Medical Foundation and his current practice location is 1620 E Roseville Pkwy, Roseville, California. You can reach out to his office (for appointments etc.) via phone at (916) 865-1400.

Ryan Kim is licensed to practice in New York (license number 259592) 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 1770739716.

Contact Information

	Ryan Kim, DO
	1620 E Roseville Pkwy, Roseville, CA 95661-3995
	(916) 865-1400
	(845) 231-5489

Map and Direction

Physician's Profile

Full Name	Ryan Kim
Gender	Male
Speciality	Family Practice
Experience	18 Years
Location	1620 E Roseville Pkwy, Roseville, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ryan Kim graduated from medical school in 2008

NPI Data:

NPI Number: 1770739716
Provider Enumeration Date: 08/11/2008
Last Update Date: 05/27/2025

Medicare PECOS Information:

PECOS PAC ID: 3870761885
Enrollment ID: I20150826002691

Medical Identifiers

Medical identifiers for Ryan Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770739716	NPI	-	NPPES
03359271	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	259592 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sutter Roseville Medical Center	Roseville, CA	Hospital
Sutter Medical Center, Sacramento	Sacramento, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	10968
Sutter Valley Medical Foundation	9830094515	2449
Southern California Permanente Medical Group	6002729175	11244
Sutter Bay Medical Foundation	4284538778	3741

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. Ryan Kim allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

Entity Name	Sutter Valley Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

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. Ryan 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
Ryan Kim, DO Po Box 255228, Sacramento, CA 95865-5228 Ph: () -	Ryan Kim, DO 1620 E Roseville Pkwy, Roseville, CA 95661-3995 Ph: (916) 865-1400

Reviews and Comments

Family Medicine Doctors in Roseville, CA

Ahmed Zia Kiani, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5 Medical Plaza Dr Ste 190, Roseville, CA 95661 Phone: 916-679-3590
Steven E. Kobrine, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1620 E Roseville Pkwy, Roseville, CA 95661 Phone: 916-865-1400
Dr. Christoph Klaus Beisenherz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr Ste 140, Roseville, CA 95661 Phone: 916-865-1400
Dr. Korina Ann Tanner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Plaza Dr, Suite 130, Roseville, CA 95661 Phone: 916-865-1400 Fax: 916-865-1401
Dr. Martin G Neft, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Plaza Dr, 130, Roseville, CA 95661 Phone: 916-865-1400 Fax: 916-865-1401
Mitchel J Youngblood, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 Riverside Ave, Roseville, CA 95678 Phone: 916-814-5200 Fax: 916-746-4519
Amitabh C. Joglekar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000

Ryan Kim, DO - Medicare Family Practice in Roseville, CA