Charles Kim, D.O.
NPI 1003077769ActiveIndividual· Anesthesiology· Lubbock, TX
Anesthesiology (D.O.) with Permanente Medical Group Inc, practicing in Lubbock, Texas. Enrolled in Medicare as practitioner - anesthesiology.
Overview
| NPI | 1003077769 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | Yes |
| NPI issued | Jun 24, 2008 |
| Last updated in NPPES | Jan 20, 2022 |
| Certified by provider | Jan 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 12344 | ND |
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10032227 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (CA) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Anesthesiology |
Medical group
- Permanente Medical Group IncOakland, CA · 10,996 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 85 anesthesiologists in Lubbock · All anesthesiologists in Texas