MINWOO KIM CRNA
NPI 1003478942
Nurse Anesthetist, Certified Registered in Urbana, IL
About Minwoo Kim Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINWOO KIM CRNA (NPI 1003478942) is an individual nurse anesthetist, certified registered in Urbana, Illinois, licensed in Illinois (209019559) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Minwoo Kim Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Minwoo Kim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
Hoopeston, IL 60942
- Reassigned Medicare billing, Illinois enrollment
- 88 clinicians in this Medicare group
Chicago, IL 60612
- Reassigned Medicare billing, Illinois enrollment
- 48 clinicians in this Medicare group
Chicago, IL 60612
- Reassigned Medicare billing, Illinois enrollment
- 188 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rush University Medical Center
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
URBANA, IL 61801
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Minwoo Kim's NPI number?
The NPI number for Minwoo Kim is 1003478942. It was assigned to this individual provider in the NPPES registry on July 1, 2019.
Where is Minwoo Kim located?
Minwoo Kim practices at 611 W Park St, Urbana, IL 61801. The listed phone number is (217) 383-3303.
What is Minwoo Kim's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Minwoo Kim enrolled in Medicare?
Yes. Minwoo Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Minwoo Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Minwoo Kim reassigns Medicare benefits to 4 organizations: Carle Health Medical Group (Urbana, IL), Hoopeston Community Memorial Hospital (Hoopeston, IL), Rush University Medical Center (Chicago, IL) and University Anesthesiologists Sc (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Minwoo Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Minwoo Kim affiliated with any hospitals?
According to CMS data, Minwoo Kim is affiliated with Rush University Medical Center.
When was this NPI record last updated?
The NPPES record for Minwoo Kim was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Minwoo Kim, CRNA · NPI 1003478942
Nurse Anesthetist, Certified Registered physician in Urbana, Illinois. Individual provider, active in the CMS NPPES registry since July 1, 2019.
## Identity
- **NPI:** 1003478942 (Entity type: Individual)
- **Enumerated:** July 1, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209019559 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 611 W PARK ST, Urbana, IL 61801-2529
- **Phone:** (217) 383-3303 · **Fax:** (217) 383-3265
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Carle Health Medical Group (NPI 1154653947, Urbana, IL); Hoopeston Community Memorial Hospital (NPI 1366480873, Hoopeston, IL); Rush University Medical Center (NPI 1356891618, Chicago, IL); University Anesthesiologists Sc (NPI 1073558136, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 1, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1003478942) · Data from the CMS NPPES public registry.