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JEE KIM
NPI 1174083075
Internal Medicine - Nephrology in Phoenix, AZ

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
5779 E MAYO BLVD, PHOENIX, AZ 85054(480) 342-2000 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2025, May 20, 2025, Sep 10, 2020 (3 updates tracked since 2020).

About Jee Kim NPPES

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

JEE KIM (NPI 1174083075) is an individual nephrology provider in Phoenix, Arizona, licensed in New York (333101) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of University Of Texas Medical School At San Antonio (2019).

NPPES Registry Identity

NPI1174083075
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJEE KIM
Location Address5779 E MAYO BLVDPhoenix, AZ 85054-4502
Mailing Address5779 E Mayo BlvdPhoenix, AZ 85054-4502 · (949) 278-8650
Phone(480) 342-2000
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1174083075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 333101
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.

5779 E MAYO BLVD, Phoenix, AZ 85054
Open in Google Maps ↗

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

Jee Kim 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 ID8224451372
PECOS Enrollment IDI20260325001443
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

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85054 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

DR. DONALD E NOVICKI M.D.
Urology
5779 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
DR. TODD A KILE M.D.
Orthopaedic Surgery
5779 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
DAVID M MUMMA P.A.-C.
Physician Assistant (Surgical)
5779 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
DR. SCOTT K SWANSON M.D.
Urology
5779 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
MATTHEW JAMES VAN LIGTEN
Student in an Organized Health Care Education/Training Program
5779 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (507) 284-2020
DR. ROBERT STUART FOWLER M.D.
Obstetrics & Gynecology
5779 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
HASAN KHAMASH MD
Internal Medicine (Nephrology)
5779 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
DR. ANTHONY A SMITH M.D.
Plastic Surgery
5779 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000

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 Jee Kim's NPI number?

The NPI number for Jee Kim is 1174083075. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Jee Kim located?

Jee Kim practices at 5779 E Mayo Blvd, Phoenix, AZ 85054. The listed phone number is (480) 342-2000.

What is Jee Kim's specialty?

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

Is Jee Kim enrolled in Medicare?

Yes. Jee 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.

Is Jee Kim affiliated with any hospitals?

According to CMS data, Jee Kim is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Jee Kim was last updated on December 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.