BOMY KIM PA-C
NPI 1063939973
Physician Assistant - Surgical in Evanston, IL
About Bomy Kim Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOMY KIM PA-C (NPI 1063939973) is an individual surgical provider in Evanston, Illinois, licensed in Illinois (085006334) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
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
Bomy Kim Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northshore University Healthsystem - Evanston Hospital
Acute Care Hospitals · Evanston, ILOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
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 Bomy Kim's NPI number?
The NPI number for Bomy Kim is 1063939973. It was assigned to this individual provider in the NPPES registry on August 23, 2017.
Where is Bomy Kim located?
Bomy Kim practices at 2650 Ridge Ave Ste 1223, Evanston, IL 60201. The listed phone number is (847) 982-3171.
What is Bomy Kim's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Bomy Kim enrolled in Medicare?
Yes. Bomy 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 Bomy Kim affiliated with any hospitals?
According to CMS data, Bomy Kim is affiliated with Northshore University Healthsystem - Evanston Hospital.
When was this NPI record last updated?
The NPPES record for Bomy Kim was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Bomy Kim, PA-C · NPI 1063939973
Surgical physician in Evanston, Illinois. Individual provider, active in the CMS NPPES registry since August 23, 2017.
## Identity
- **NPI:** 1063939973 (Entity type: Individual)
- **Enumerated:** August 23, 2017
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 085006334 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2650 RIDGE AVE STE 1223, Evanston, IL 60201-1700
- **Phone:** (847) 982-3171
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063939973) · Data from the CMS NPPES public registry.