JI HWAN KIM M.D.
NPI 1194169441
Family Medicine in Orem, UT

Active since April 17, 2013PECOS EnrolledAccepts Medicare Assignment
505 W 400 N, OREM, UT 84057(801) 714-3450(801) 714-3420 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2021, Jun 23, 2016 (2 updates tracked since 2016).

About Ji Hwan Kim M.d. NPPES

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

JI HWAN KIM M.D. (NPI 1194169441) is an individual family medicine provider in Orem, Utah, licensed in Utah (9845802-1205) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of Eastern Virginia Medical School (2013).

NPPES Registry Identity

NPI1194169441
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJI HWAN KIMCredential: M.D.
Location Address505 W 400 NOrem, UT 84057-1950
Mailing Address505 W 400 NOrem, UT 84057-1950 · (801) 714-3450 · Fax (801) 714-3420
Fax(801) 714-3420
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2013
Enumeration DateApril 17, 2013
Last NPPES UpdateSeptember 30, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
NPI 1194169441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 9845802-1205
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.
505 W 400 N, Orem, UT 84057

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

Ji Hwan 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.

PECOS PAC ID2365737715
PECOS Enrollment IDI20160824000372
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
157 services76 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
97 services97 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
95 services61 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services28 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
26 services26 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
18 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Orem Community Hospital

Acute Care Hospitals · Orem, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460043
Location331 North 400 WestOrem, UT 84057 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84057 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers14 claims60 services$6.26 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers32 claims32 services$16.90 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
2 suppliers32 claims32 services$87.00 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 20

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

Family Medicine
505 W 400 N
OREM, UT 84057
Family Medicine
505 W 400 N
OREM, UT 84057
Family Medicine
505 W 400 N
OREM, UT 84057
Pharmacy (Community/Retail Pharmacy)
505 W 400 N
OREM, UT 84057
Physician Assistant
505 W 400 N
OREM, UT 84057
Social Worker (Clinical)
505 W 400 N
OREM, UT 84057
Pediatrics
505 W 400 N
OREM, UT 84057
Family Medicine
505 W 400 N
OREM, UT 84057

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 Ji Kim's NPI number?

The NPI number for Ji Kim is 1194169441. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Where is Ji Kim located?

Ji Kim practices at 505 W 400 N, Orem, UT 84057. The listed phone number is (801) 714-3450.

What is Ji Kim's specialty?

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

Is Ji Kim enrolled in Medicare?

Yes. Ji 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 Ji Kim accept?

Health plans from Select Health list Ji 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 Ji Kim affiliated with any hospitals?

According to CMS data, Ji Kim is affiliated with Utah Valley Hospital, American Fork Hospital and Orem Community Hospital.

When was this NPI record last updated?

The NPPES record for Ji Kim was last updated on September 30, 2021. 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.