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

Peter Lee Kim, MD

Individual provider Neurology Physician · NPI 1972990885

Peter Lee Kim, MD is a Neurology in New Haven, Connecticut. Graduated from Drexel University College of Medicine in 2015, 11 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
11
Trained at
Drexel University College of Medicine
Licensed in
WA
In the registry since
2015
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

15 York St
New Haven, CT 06510-3221
Phone: (203) 785-4085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 16th Ave E, Seattle, WA 98112-5226 — (206) 326-3000

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence MD7006640 (WA)

Record details

NPI number1972990885
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2015
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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