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JEONG HYE KIM PH.D.
NPI 1033808712
Clinical Neuropsychologist in Schererville, IN

Active since May 08, 2023PECOS EnrolledAccepts Medicare Assignment
1545 W US HWY 30, SCHERERVILLE, IN 46375(219) 703-2447(219) 703-6876 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeong Hye Kim Ph.d. NPPES

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

JEONG HYE KIM PH.D. (NPI 1033808712) is an individual clinical neuropsychologist in Schererville, Indiana, licensed in Indiana (20043798A) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1033808712
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameJEONG HYE KIMCredential: PH.D.
Location Address1545 W US HWY 30Schererville, IN 46375
Mailing Address8558 BroadwayMerrillville, IN 46410-7032 · (219) 392-7084 · Fax (219) 703-6854
Phone(219) 703-2447
Fax(219) 703-6876
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 8, 2023
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1033808712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in IN · 20043798A
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 20043798A (IN)
1545 W US HWY 30, Schererville, IN 46375
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Jeong Hye Kim Ph.d. 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 ID6002254752
PECOS Enrollment IDI20240401002719
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.

Medicare Billing Reassignment

Medicare enrollment records show Jeong Hye Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Care Network Inc
3.4 mi
Family Medicine
9660 WICKER AVE
St John, IN 46373
  • Reassigned Medicare billing, Indiana enrollment
  • 607 clinicians in this Medicare group
NPI 1457610487 (219) 365-7620

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jeong Hye Kim's NPI number?

The NPI number for Jeong Hye Kim is 1033808712. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Jeong Hye Kim located?

Jeong Hye Kim practices at 1545 W Us Hwy 30, Schererville, IN 46375. The listed phone number is (219) 703-2447.

What is Jeong Hye Kim's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jeong Hye Kim enrolled in Medicare?

Yes. Jeong Hye 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 organization bills Medicare for Jeong Hye Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeong Hye Kim reassigns Medicare benefits to Community Care Network Inc (St John, IN). The 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 Jeong Hye Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeong Hye Kim accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Cigna Healthcare list Jeong Hye 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.

When was this NPI record last updated?

The NPPES record for Jeong Hye Kim was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.