MINWOO KIM CRNA
NPI 1003478942
Nurse Anesthetist, Certified Registered in Urbana, IL

Active since July 01, 2019Accepts Medicare Assignment
611 W PARK ST, URBANA, IL 61801(217) 383-3303(217) 383-3265 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 affiliated with Rush University Medical Center and is a graduate of Other (2019).

NPPES Registry Identity

NPI1003478942
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMINWOO KIMCredential: CRNA
Location Address611 W PARK STUrbana, IL 61801-2529
Mailing Address611 W Park StUrbana, IL 61801-2529
Fax(217) 383-3265
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 1, 2019
NPI 1003478942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in IL · 209019559
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

611 W PARK ST, Urbana, IL 61801

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5799012258
PECOS Enrollment IDI20190807001678

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
13 services12 patients

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, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician 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.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine (Interventional Cardiology)
611 W PARK ST, HVI
URBANA, IL 61801
Urology
611 W PARK ST
URBANA, IL 61801
Family Medicine
611 W PARK ST
URBANA, IL 61801
Nurse Practitioner (Women's Health)
611 W PARK ST
URBANA, IL 61801
Surgery (Vascular Surgery)
611 W PARK ST
URBANA, IL 61801
Nurse Practitioner (Family)
611 W PARK ST
URBANA, IL 61801
Physical Therapist
611 W PARK ST
URBANA, IL 61801
Family Medicine
611 W PARK ST
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.

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 with the weekly NPPES data releases published by CMS.