Individual provider

Benjamin Kim, M.D.

Colon & Rectal Surgery Physician Surgery Physician Surgical Oncology Physician Medicare enrolled

Benjamin Kim, M.D. is a Colon & Rectal Surgery Physician in Salt Lake City, UT, registered under NPI 1487681102. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1220 E 3900 S 4F, Salt Lake City, UT 84124. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1220 E 3900 S 4F, Salt Lake City, UT 84124 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
1003810220 UT Colon & Rectal Surgery Physician primary
1003810220 UT Surgery Physician
1003810220 UT Surgical Oncology Physician

This provider holds licence 1003810220 issued in UT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - General Surgery
PAC ID
3173694783
Enrollment ID
I20240723003526

Medicare enrolment is recorded as approved under the provider type Practitioner - General Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Colon & Rectal Surgery covers

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. NUCC Health Care Provider Taxonomy, code 208C00000X
Allopathic & Osteopathic Physicians Colon & Rectal Surgery

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208C00000X Colon & Rectal Surgery Physician 1003810220 UT primary
208600000X Surgery Physician 1003810220 UT
2086X0206X Surgical Oncology Physician Surgical Oncology 1003810220 UT

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1487681102 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 27, 2006
Last updatedSep 11, 2025
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 1220 E 3900 S
4F
Salt Lake City, UT 84124
(801) 268-8223
Fax (801) 268-8248
Other identifiers 45948 · Other (UT)
1700075 · Other (UT)
QM0000033040 · Other (UT)
This record was updated on Sep 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1487681102 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 8 7 6 8 1 1 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 7 7 3 8 2 1 0

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1487681102?
NPI 1487681102 is the National Provider Identifier assigned to Benjamin Kim, M.D. in Salt Lake City, UT. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Colon & Rectal Surgery Physician cover?
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary…
How do I contact Benjamin Kim, M.D.?
The phone number on file with NPPES is (801) 268-8223, last updated Sep 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Benjamin Kim, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1487681102 a valid number?
Yes. 1487681102 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.