JISOO KIM
NPI 1144924259
Family Medicine in Berwyn, IL

Q: What is Jisoo Kim's NPI number?

The NPI number for Jisoo Kim is 1144924259. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Q: What is Jisoo Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jisoo Kim was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 30, 2023PECOS Enrolled

3249 OAK PARK AVE, BERWYN, IL 60402(877) 834-7264 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2023, Mar 30, 2023 (2 updates tracked since 2023).

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About Jisoo Kim NPPES

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

JISOO KIM (NPI 1144924259) is an individual family medicine provider in Berwyn, Illinois, licensed in Illinois (125.081833) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144924259

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJISOO KIM

Location Address3249 OAK PARK AVEBerwyn, IL 60402-3429

Mailing Address3249 Oak Park AveBerwyn, IL 60402-3429

Phone(877) 834-7264

Sole ProprietorNo

Enumeration DateMarch 30, 2023

Last NPPES UpdateJune 2, 20232 updates tracked since enumeration

NPPES CertifiedJune 2, 2023

✔ NPI 1144924259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 125.081833

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3249 OAK PARK AVE, Berwyn, IL 60402

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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)

Jisoo Kim 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 60402 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

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.

MRS. DANIELLE GENGO R.D.

Dietitian, Registered

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-3077

GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION

General Practice

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-3125

MARIA RAMIREZ

Family Medicine

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-9100

PATRICIA NAUGHTON MD

Obstetrics & Gynecology

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-3792

PAUL G FAINE M.D.

Emergency Medicine

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-9100

DR. BHARTI RAIZADA M.D,

Anesthesiology

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-6339

SHEENA REDDY KODAVALURU M.D.

Internal Medicine

3249 OAK PARK AVE, MACNEAL HOSPITAL
BERWYN, IL 60402

Cook County (708) 783-9100

DR. ANGELA DIANIRA ALCARRAZ BEDRILLANA MD

Student in an Organized Health Care Education/Training Program

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-6566

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 Jisoo Kim's NPI number?

The NPI number for Jisoo Kim is 1144924259. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Where is Jisoo Kim located?

Jisoo Kim practices at 3249 Oak Park Ave, Berwyn, IL 60402. The listed phone number is (877) 834-7264.

What is Jisoo Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jisoo Kim enrolled in Medicare?

Yes. Jisoo Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jisoo Kim was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.