DR. JAE-WOO KIM M.D.
NPI 1144516774
Internal Medicine in Minneapolis, MN
About Dr. Jae-woo Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAE-WOO KIM M.D. (NPI 1144516774) is an individual internal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (56350) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of St. Louis College Of Physicians And Surgeons (2011).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jae-woo Kim M.d. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jae-woo Kim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55407
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- Also billed through NPI 1205069325 (Wisconsin)
- 3,733 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Robbinsdale, MN 55422
- Reassigned Medicare billing, Minnesota enrollment
- 540 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.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Memorial Health Hospital
Acute Care Hospitals · Robbinsdale, MNAbbott Northwestern Hospital
Acute Care Hospitals · Minneapolis, MNAllina Health Faribault Medical Center
Acute Care Hospitals · Faribault, MNMaple Grove Hospital
Acute Care Hospitals · Maple Grove, MNRiver Falls Area Hospital
Critical Access Hospitals · River Falls, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55407 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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MINNEAPOLIS, MN 55407
MINNEAPOLIS, MN 55407
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 Jae-woo Kim's NPI number?
The NPI number for Jae-woo Kim is 1144516774. It was assigned to this individual provider in the NPPES registry on June 22, 2011.
Where is Jae-woo Kim located?
Jae-woo Kim practices at 800 E 28th St Mail Route 11326, Minneapolis, MN 55407. The listed phone number is (612) 863-5567.
What is Jae-woo Kim's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jae-woo Kim enrolled in Medicare?
Yes. Jae-woo 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.
Which organizations bill Medicare for Jae-woo Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jae-woo Kim reassigns Medicare benefits to 4 organizations: Allina Health System (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Healtheast Medical Research Institute (Saint Paul, MN) and North Memorial Health Care (Robbinsdale, MN). Each 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 Jae-woo Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jae-woo Kim affiliated with any hospitals?
According to CMS data, Jae-woo Kim is affiliated with North Memorial Health Hospital, Abbott Northwestern Hospital, Allina Health Faribault Medical Center, Maple Grove Hospital and River Falls Area Hospital.
When was this NPI record last updated?
The NPPES record for Jae-woo Kim was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Jae-Woo Kim, M.D. · NPI 1144516774
Internal Medicine physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since June 22, 2011.
## Identity
- **NPI:** 1144516774 (Entity type: Individual)
- **Enumerated:** June 22, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 56350 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 E 28TH ST, MAIL ROUTE 11326, Minneapolis, MN 55407-3723
- **Phone:** (612) 863-5567
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Allina Health System (NPI 1053354985, Minneapolis, MN); Fairview Health Services (NPI 1013994359, Minneapolis, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN); North Memorial Health Care (NPI 1285657247, Robbinsdale, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** St. Louis College Of Physicians And Surgeons, class of 2011
## Record status
- **NPPES last updated:** March 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1144516774) · Data from the CMS NPPES public registry.