JOHN CHAE KIM MD
NPI 1073554648
Obstetrics & Gynecology in Orlando, FL

Active since June 08, 2006PECOS Enrolled
601 E ROLLINS ST, ORLANDO, FL 32803(407) 975-0406(407) 975-0407 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John Chae Kim Md NPPES

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

JOHN CHAE KIM MD (NPI 1073554648) is an individual obstetrics & gynecology provider in Orlando, Florida, licensed in Florida (ME93048) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Celebration.

NPPES Registry Identity

NPI1073554648
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOHN CHAE KIMCredential: MD
Location Address601 E ROLLINS STOrlando, FL 32803-1248
Mailing Address601 E Rollins StOrlando, FL 32803-1248 · (407) 975-0406 · Fax (407) 975-0407
Fax(407) 975-0407
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateAugust 24, 2023
NPPES CertifiedAugust 24, 2023
✔ NPI 1073554648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME93048
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
601 E ROLLINS ST, Orlando, FL 32803

Secondary Practice Location 1

Location 1380 Celebration Place, Second FloorCelebration, FL 34747-4606 · Phone (407) 303-4573 · Fax (407) 303-4596

Other Identifiers 3

Other16466FL · Bcbs
Medicaid273465600FL
OtherP00281839Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Chae Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 John Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32803 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Advanced Practice Midwife
601 E ROLLINS ST
ORLANDO, FL 32803
Radiology (Diagnostic Radiology)
601 E ROLLINS ST
ORLANDO, FL 32803
Internal Medicine
601 E ROLLINS ST
ORLANDO, FL 32803
Pediatrics (Neonatal-Perinatal Medicine)
601 E ROLLINS ST
ORLANDO, FL 32803
Nurse Anesthetist, Certified Registered
601 E ROLLINS ST
ORLANDO, FL 32803
Emergency Medicine
601 E ROLLINS ST
ORLANDO, FL 32803
Hospitalist
601 E ROLLINS ST
ORLANDO, FL 32803
Pharmacist
601 E ROLLINS ST
ORLANDO, FL 32803

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 1073554648. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is John Kim located?

John Kim practices at 601 E Rollins St, Orlando, FL 32803. The listed phone number is (407) 975-0406.

What is John Kim's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is John Kim enrolled in Medicare?

Yes. John Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Kim reassigns Medicare benefits to Florida Hospital Medical Group Inc (Orlando, FL). 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 John Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Kim was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.