JAE HOON KIM DO
NPI 1164981965
Internal Medicine - Nephrology in Royal Oak, MI

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
3535 W 13 MILE RD STE 247, ROYAL OAK, MI 48073(248) 551-4149(248) 551-4150 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2024, Jul 23, 2024, May 5, 2022 and 2 more (5 updates tracked since 2019).

About Jae Hoon Kim Do NPPES

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

JAE HOON KIM DO (NPI 1164981965) is an individual nephrology provider in Royal Oak, Michigan, licensed in Michigan (5101027937) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1164981965
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJAE HOON KIMCredential: DO
Location Address3535 W 13 MILE RD STE 247Royal Oak, MI 48073-6770
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · (248) 551-4149
Fax(248) 551-4150
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateOctober 30, 20245 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
NPI 1164981965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in MI · 5101027937 Licensed in WA · OL61280717
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License LP04718 (RI)
3535 W 13 MILE RD STE 247, Royal Oak, MI 48073

Secondary Practice Locations 5

Location 1325 9th AveSeattle, WA 98104-2420 · Phone (206) 744-3000
Location 21660 S Columbian WaySeattle, WA 98108-1532 · Phone (206) 762-1010
Location 3455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010 ext. 35640 · Fax (401) 736-1975
Location 41959 NE Pacific StSeattle, WA 98195-2759 · Phone (206) 598-3300
Location 52624 11 Mile RdBerkley, MI 48072-3050 · Phone (248) 399-0764

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jae Hoon Kim Do 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 ID6406182294
PECOS Enrollment IDI20240802000591
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230151
Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 2

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

Internal Medicine (Nephrology)
3535 W 13 MILE RD STE 247
ROYAL OAK, MI 48073
Physician Assistant
3535 W 13 MILE RD STE 247
ROYAL OAK, MI 48073

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 Kim's NPI number?

The NPI number for Jae Kim is 1164981965. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Jae Kim located?

Jae Kim practices at 3535 W 13 Mile Rd Ste 247, Royal Oak, MI 48073. The listed phone number is (248) 551-4149.

What is Jae Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Jae Kim enrolled in Medicare?

Yes. Jae 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.

What insurance does Jae Kim accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Jae Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jae Kim affiliated with any hospitals?

According to CMS data, Jae Kim is affiliated with Beaumont Hospital Royal Oak, Beaumont Hospital - Farmington Hills and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Jae Kim was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.