Leeshah Kim
NPI 1629640628ActiveIndividual· Anesthesiologist Assistant· Conyers, GA
Anesthesiologist Assistant with Porter County Anesthesia Associates PC, practicing in Conyers, Georgia. Medicare paid $18,408 for services to 216 patients in 2024. Lists Northwest Health - Porter as a hospital affiliation.
Overview
| NPI | 1629640628 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 11, 2021 |
| Last updated in NPPES | Jul 11, 2021 |
| Certified by provider | Jul 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | — | — |
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 Assistant (GA); Practitioner - Anesthesiology Assistant (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 216 |
|---|---|
| Services billed | 247 across 53 procedure codes |
| Paid by Medicare | $18,408 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Porter County Anesthesia Associates PCValparaiso, IN · 29 clinicians
Hospital affiliation
- Northwest Health - PorterValparaiso, IN
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