DR. JOHN JUNIL KIM DPM
NPI 1023647229
Podiatrist - Foot & Ankle Surgery in Bloomington, IL

Active since April 08, 2020PECOS EnrolledAccepts Medicare Assignment
1111 TRINITY LN STE 111, BLOOMINGTON, IL 61704(309) 663-6461 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2025, Jun 30, 2021, Jun 4, 2020 and 1 more (4 updates tracked since 2020).

About Dr. John Junil Kim Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN JUNIL KIM DPM (NPI 1023647229) is an individual foot & ankle surgery provider in Bloomington, Illinois, licensed in Illinois (016006086) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and maintains a secondary practice location in Maywood.

NPPES Registry Identity

NPI1023647229
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JOHN JUNIL KIMCredential: DPM
Location Address1111 TRINITY LN STE 111Bloomington, IL 61704-8112
Mailing Address611 W Park St, FapcUrbana, IL 61801-2500
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 8, 2020
Last NPPES UpdateJune 6, 20254 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
NPI 1023647229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in IL · 016006086
1111 TRINITY LN STE 111, Bloomington, IL 61704

Secondary Practice Location 1

Location 12160 S 1st AveMaywood, IL 60153-3328 · Phone (708) 216-6906

Accepted Insurance

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

Dr. John Junil Kim Dpm 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 ID3173978574
PECOS Enrollment IDI20240830001766
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Carle Eureka Hospital

Critical Access Hospitals · Eureka, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141309
Location101 S Major StEureka, IL 61530 · Woodford County
Emergency services

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.

Durable Medical Equipment & Medical Supplies
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Physical Therapist
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Physician Assistant
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Orthopaedic Surgery (Hand Surgery)
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Family Medicine (Sports Medicine)
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Occupational Therapist
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Physical Therapist
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Physical Therapist
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704

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 John Kim's NPI number?

The NPI number for John Kim is 1023647229. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is John Kim located?

John Kim practices at 1111 Trinity Ln Ste 111, Bloomington, IL 61704. The listed phone number is (309) 663-6461.

What is John Kim's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is John Kim enrolled in Medicare?

Yes. John 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.

What insurance does John Kim accept?

Health plans from Providence Health Plan list John Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Kim affiliated with any hospitals?

According to CMS data, John Kim is affiliated with Carle Bromenn Medical Center, St Joseph Medical Center and Carle Eureka Hospital.

When was this NPI record last updated?

The NPPES record for John Kim was last updated on June 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.