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

Active since August 31, 2006
400 N WALL ST, SUITE 410, KANKAKEE, IL 60901(815) 933-2221(815) 933-7363 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dong Ouk Kim M.d. NPPES

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

DR. DONG OUK KIM M.D. (NPI 1104938984) is an individual surgery provider in Kankakee, Illinois and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1104938984
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DONG OUK KIMCredential: M.D.
Location Address400 N WALL ST, SUITE 410Kankakee, IL 60901-2940
Mailing Address400 N Wall St, Suite 410Kankakee, IL 60901-2940 · (815) 933-2221 · Fax (815) 933-7363
Phone(815) 933-2221
Fax(815) 933-7363
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104938984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
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.
400 N WALL ST, Kankakee, IL 60901
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Other Identifiers 2

Medicare UPINF41144
Medicare ID-Type Unspecified200678

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
79%168 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
47%200 patients2/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
1%103 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARIA S VILLEGAS MD
Physical Medicine & Rehabilitation
400 N WALL ST, SUITE 405
KANKAKEE, IL 60901
Kankakee County (815) 932-6632
SAFWAT G. ISKANDER M.D.
Pediatrics
400 N WALL ST, SUITE 312
KANKAKEE, IL 60901
Kankakee County (815) 933-3200
KEITH M. MONSON, M.D., SC
Surgery
400 N WALL ST, SUITE 304
KANKAKEE, IL 60901
Kankakee County (815) 932-6400
REGAN LANE KENDREGAN PA
Physician Assistant
400 N WALL ST, STE 510
KANKAKEE, IL 60901
Kankakee County (815) 932-5725
RIVERVIEW OB-GYN, LTD
Obstetrics & Gynecology
400 N WALL ST, SUITE 403
KANKAKEE, IL 60901
Kankakee County (815) 933-2231
JASMINE MATHEW MALY M.D.
Anesthesiology
400 N WALL ST, SUITE 304
KANKAKEE, IL 60901
Kankakee County (815) 929-1388
YALAMANCHILI OBGYN SC
Obstetrics & Gynecology
400 N WALL ST, SUITE 403
KANKAKEE, IL 60901
Kankakee County (815) 933-2231
DR. JUAN C. JIMENEZ MD
Neurological Surgery
400 N WALL ST, SUITE 402
KANKAKEE, IL 60901
Kankakee County (815) 932-7200

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 Dong Kim's NPI number?

The NPI number for Dong Kim is 1104938984. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Dong Kim located?

Dong Kim practices at 400 N Wall St Suite 410, Kankakee, IL 60901. The listed phone number is (815) 933-2221.

What is Dong Kim's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Dong Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.