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TAE YEON KIM MD
NPI 1104387638
Hospitalist in Evanston, IL

Active since March 27, 2019PECOS Enrolled
2650 RIDGE AVE., PEDIATRIC HOSPITALISTS, EVANSTON, IL 60201(847) 570-1027(847) 733-5108 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2022, Feb 21, 2022, May 21, 2019 (3 updates tracked since 2019).

About Tae Yeon Kim Md NPPES

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

TAE YEON KIM MD (NPI 1104387638) is an individual hospitalist provider in Evanston, Illinois, licensed in Illinois (036159364) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104387638
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameTAE YEON KIMCredential: MD
Location Address2650 RIDGE AVE., PEDIATRIC HOSPITALISTSEvanston, IL 60201
Mailing Address2650 Ridge Ave., Pediatric HospitalistsEvanston, IL 60201 · (847) 570-1027 · Fax (847) 733-5108
Phone(847) 570-1027
Fax(847) 733-5108
Sole ProprietorNo
Enumeration DateMarch 27, 2019
Last NPPES UpdateMay 25, 20223 updates tracked since enumeration
NPPES CertifiedMay 7, 2022
✔ NPI 1104387638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036159364
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedPediatricsTaxonomy 208000000X · License 036.159364 (IL)
2650 RIDGE AVE., Evanston, IL 60201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tae Yeon 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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.

JAMES FRANCIS KELLY DO
Hospitalist
2650 RIDGE AVE., IM HOSPITALISTS STE 4206
EVANSTON, IL 60201
Cook County (847) 570-1010
DR. MARY TILLEY JENKINS VOGEL MD
Obstetrics & Gynecology (Gynecologic Oncology)
2650 RIDGE AVE., KELLOGG CANCER CENTER
EVANSTON, IL 60201
Cook County (847) 570-2639
BHAVIK KHAJURIA
Radiology (Diagnostic Radiology)
2650 RIDGE AVE., DEPT. OF RADIOLOGY
EVANSTON, IL 60201
Cook County (847) 570-2477
WAJDEY NESHEIWAT PA-C
Physician Assistant (Surgical)
2650 RIDGE AVE., DEPT. OF SURGERY WALGREEN 2507
EVANSTON, IL 60201
Cook County (847) 570-2560
AYMAN NAJIB MD
Hospitalist
2650 RIDGE AVE., IM HOSPITALISTS STE 4206
EVANSTON, IL 60201
Cook County (847) 570-1010
MATTHEW JOSEPH SADLOWSKY APN-CRNA
Nurse Anesthetist, Certified Registered
2650 RIDGE AVE., DEPARTMENT OF ANESTHESIA
EVANSTON, IL 60201
Cook County (847) 570-2760
KYLE PETTY MD
Anesthesiology
2650 RIDGE AVE., DEPT. OF ANESTHESIA
EVANSTON, IL 60201
Cook County (847) 570-2760
TYLER PATRICK DOUGAN APN-CRNA
Nurse Anesthetist, Certified Registered
2650 RIDGE AVE., DEPARTMENT OF ANESTHESIA
EVANSTON, IL 60201
Cook County (847) 570-2760

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 Tae Yeon Kim's NPI number?

The NPI number for Tae Yeon Kim is 1104387638. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Tae Yeon Kim located?

Tae Yeon Kim practices at 2650 Ridge Ave. Pediatric Hospitalists, Evanston, IL 60201. The listed phone number is (847) 570-1027.

What is Tae Yeon Kim's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Tae Yeon Kim enrolled in Medicare?

Yes. Tae Yeon Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tae Yeon Kim was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.