JI MIN KIM
NPI 1073960399
Nurse Practitioner - Gerontology in Chicago, IL
About Ji Min Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JI MIN KIM (NPI 1073960399) is an individual gerontology provider in Chicago, Illinois, licensed in Illinois (209014282) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains a secondary practice location in Evanston.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Ji Min Kim 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.
Northwestern Memorial Hospital
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
CHICAGO, IL 60611
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 Ji Min Kim's NPI number?
The NPI number for Ji Min Kim is 1073960399. It was assigned to this individual provider in the NPPES registry on May 17, 2016.
Where is Ji Min Kim located?
Ji Min Kim practices at 259 E Erie St, Chicago, IL 60611. The listed phone number is (312) 695-4517.
What is Ji Min Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Ji Min Kim enrolled in Medicare?
Yes. Ji Min 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 Ji Min Kim affiliated with any hospitals?
According to CMS data, Ji Min Kim is affiliated with Northwestern Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Ji Min Kim was last updated on November 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Ji Min Kim · NPI 1073960399
Gerontology physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since May 17, 2016.
## Identity
- **NPI:** 1073960399 (Entity type: Individual)
- **Enumerated:** May 17, 2016
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 209014282 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 259 E ERIE ST, Chicago, IL 60611-2987
- **Phone:** (312) 695-4517
## 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:** University Of Illinois College Of Med, class of 2015
## Record status
- **NPPES last updated:** November 2, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1073960399) · Data from the CMS NPPES public registry.