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JIN HA KIM MD
NPI 1215174859
Internal Medicine in Rice Lake, WI

Active since January 20, 2009PECOS Enrolled
1700 W STOUT ST, RICE LAKE, WI 54868(715) 236-8100 Get Directions Write a Review

NPPES record last updated: July 6, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jin Ha Kim Md NPPES

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

JIN HA KIM MD (NPI 1215174859) is an individual internal medicine provider in Rice Lake, Wisconsin, licensed in Wisconsin (55369) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215174859
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJIN HA KIMCredential: MD
Location Address1700 W STOUT STRice Lake, WI 54868-5000
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Phone(715) 236-8100
Sole ProprietorNo
Enumeration DateJanuary 20, 2009
Last NPPES UpdateJuly 6, 2011
✔ NPI 1215174859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 55369
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.
1700 W STOUT ST, Rice Lake, WI 54868
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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 (PECOS)

Jin Ha Kim Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jin Ha Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mchs Hospitals Inc
31 mi
Critical Access
1200 PORT ARTHUR RD
Ladysmith, WI 54848
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
NPI 1952890873 (715) 532-5561
Memorial Hospital Inc
86 mi
Clinic/Center
N3708 RIVER AVE
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,440 clinicians in this Medicare group
NPI 1033701800 (715) 743-3101
Marshfield Clinic Inc
97 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511

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 54868 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

THOMAS G GERBER JR. MD
Otolaryngology
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8100
MRS. LINDSEY MARIE MORAVCHIK PA
Physician Assistant
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8100
WILLIAM A SMITH MD
Family Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8100
MICHELE C. BYRON MD
Obstetrics & Gynecology
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8100
CHRISTINE KESSLER
Occupational Therapist
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 234-1515
LARA CHARITY STAUNER APNP
Nurse Practitioner (Family)
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8100
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-6159
ALBOURY SOW M.D.
Emergency Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-6291

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 Jin Ha Kim's NPI number?

The NPI number for Jin Ha Kim is 1215174859. It was assigned to this individual provider in the NPPES registry on January 20, 2009.

Where is Jin Ha Kim located?

Jin Ha Kim practices at 1700 W Stout St, Rice Lake, WI 54868. The listed phone number is (715) 236-8100.

What is Jin Ha Kim's specialty?

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

Is Jin Ha Kim enrolled in Medicare?

Yes. Jin Ha Kim is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jin Ha Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jin Ha Kim reassigns Medicare benefits to 3 organizations: Mchs Hospitals Inc (Ladysmith, WI), Memorial Hospital Inc (Neillsville, WI) and Marshfield Clinic Inc (Marshfield, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jin Ha Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jin Ha Kim was last updated on July 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.