DR. DONG OUK KIM M.D.
NPI 1104938984
Surgery in Kankakee, IL

NPI Status: Active since August 31, 2006

Contact Information

400 N WALL ST
SUITE 410
KANKAKEE, IL
ZIP 60901
Phone: (815) 933-2221
Fax: (815) 933-7363

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  • Individual
  • Male
  • Surgery
  • Medicare Quality Reporting

About DONG KIM

This page provides the complete NPI Profile along with additional information for Dong Kim, a provider established in Kankakee, Illinois with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1104938984 assigned on August 2006. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1104938984
Provider Name
DR. DONG OUK KIM M.D.
Gender
Male
Entity Type
Individual
Location Address
400 N WALL ST SUITE 410 KANKAKEE, IL 60901
Location Phone
(815) 933-2221
Location Fax
(815) 933-7363
Mailing Address
400 N WALL ST SUITE 410 KANKAKEE, IL 60901
Mailing Phone
(815) 933-2221
Mailing Fax
(815) 933-7363
Is Sole Proprietor?
Yes
Enumeration Date
08-31-2006
Last Update Date
07-08-2007
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A surgeon like Dong Kim treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License State
IL
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F41144MEDICARE UPIN (02) 
200678MEDICARE ID-TYPE UNSPECIFIED (04) 

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Colorectal Cancer Screening 79% 168
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Pneumococcal Vaccination Status for Older Adults 47% 200
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 1% 103
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104938984, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 8 + 3 + 1 + 6 + 9 + 1 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1104938984.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
400 N WALL ST, SUITE 403
KANKAKEE, IL 60901
Pharmacist
400 N WALL ST, SUITE ONE
KANKAKEE, IL 60901
Registered Nurse (Diabetes Educator)
400 N WALL ST, SUITE 510
KANKAKEE, IL 60901
Pediatrics
400 N WALL ST, SUITE 312
KANKAKEE, IL 60901
Obstetrics & Gynecology
400 N WALL ST, SUITE 403
KANKAKEE, IL 60901
Home Health
400 N WALL ST, STE 308
KANKAKEE, IL 60901
Anesthesiology
400 N WALL ST, SUITE 304
KANKAKEE, IL 60901
Surgery
400 N WALL ST, SUITE 304
KANKAKEE, IL 60901
Psychiatry & Neurology (Neurology)
400 N WALL ST, #507
KANKAKEE, IL 60901
Physical Medicine & Rehabilitation
400 N WALL ST, SUITE 405
KANKAKEE, IL 60901
Neurological Surgery
400 N WALL ST, SUITE 402
KANKAKEE, IL 60901
Surgery
400 N WALL ST, STE 410
KANKAKEE, IL 60901
Physician Assistant
400 N WALL ST, STE 510
KANKAKEE, IL 60901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104938984, enumerated as an "individual" on August 31, 2006.

The provider is located at 400 N WALL ST SUITE 410 KANKAKEE, IL 60901 and the phone number is (815) 933-2221.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.