Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peter David Kim, MD

Individual provider Neurological Surgery Physician · NPI 1336381185

Peter David Kim, MD is a Neurosurgery in Saint Paul, Minnesota. Graduated from State University of Ny Upstate Medical University in 2003, 23 years ago. Practices with Gillette Childrens Specialty Healthcare, a 102-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
23
Trained at
State University of Ny Upstate Medical University
Licensed in
MN
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 University Ave E
Saint Paul, MN 55101-2507
Phone: (651) 325-2307
Fax: (651) 229-1713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 54156 (MN)

Record details

NPI number1336381185
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2009
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address200 University Ave E, Saint Paul, MN 55101-2507

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2003 (23 years in practice)
Group practice Gillette Childrens Specialty Healthcare — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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