JENNIFER IM MD
NPI 1164789772
Internal Medicine in Philadelphia, PA

Q: What is Jennifer Im's NPI number?

The NPI number for Jennifer Im is 1164789772. It was assigned to this individual provider in the NPPES registry on April 19, 2012.

Q: What is Jennifer Im's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Im was last updated on August 5, 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.

Active since April 19, 2012PECOS EnrolledAccepts Medicare Assignment

833 CHESTNUT ST STE 701, PHILADELPHIA, PA 19107(215) 955-6180(215) 955-6410 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2022, Jul 21, 2022, Jun 30, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Jennifer Im Md NPPES

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

JENNIFER IM MD (NPI 1164789772) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD459865) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2014).

NPPES Registry Identity

NPI1164789772

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameJENNIFER IMCredential: MD

Location Address833 CHESTNUT ST STE 701Philadelphia, PA 19107-4409

Mailing Address833 Chestnut St Ste 701Philadelphia, PA 19107-4409 · (215) 955-6180 · Fax (215) 955-6410

Phone(215) 955-6180

Fax(215) 955-6410

Sole ProprietorYes

Medical School CMSJohns Hopkins University School Of MedicineGraduated 2014

Enumeration DateApril 19, 2012

Last NPPES UpdateAugust 5, 20224 updates tracked since enumeration

NPPES CertifiedAugust 5, 2022

✔ NPI 1164789772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD459865

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

833 CHESTNUT ST STE 701, Philadelphia, PA 19107

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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

Jennifer Im Md 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.

PECOS PAC ID9931471786

PECOS Enrollment IDI20210827000164

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.

Medicare Billing Reassignments

Medicare enrollment records show Jennifer Im reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc

2,460 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

Diablo Pulmonary Medical Group, Inc

2,499 mi

Pulmonary Disease

2299 BACON ST, SUITE 2
Concord, CA 94520

Reassigned Medicare billing, California enrollment
13 clinicians in this Medicare group

NPI 1265443303 (925) 676-2942

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$15.00 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$69.24 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

MRS. CELESTE MICHELLE BECKER CRNP

Nurse Practitioner (Acute Care)