DR. CHANGHEE KIM MD
NPI 1215918479
Family Medicine in Troy, MI

Active since November 07, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 23D1018496 · Microscopy
38815 DEQUINDRE RD, STE 103, TROY, MI 48083(248) 740-7771(248) 740-7772 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Changhee Kim Md NPPES

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

DR. CHANGHEE KIM MD (NPI 1215918479) is an individual family medicine provider in Troy, Michigan, licensed in Michigan (4301059643) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through October 23, 2027, and is affiliated with Beaumont Hospital Royal Oak.

NPPES Registry Identity

NPI1215918479
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHANGHEE KIMCredential: MD
Location Address38815 DEQUINDRE RD, STE 103Troy, MI 48083
Mailing Address38815 Dequindre Rd, Ste 103Troy, MI 48083 · (248) 740-7771 · Fax (248) 740-7772
Fax(248) 740-7772
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateNovember 7, 2005
Last NPPES UpdateOctober 21, 2014
NPI 1215918479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301059643
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.
38815 DEQUINDRE RD, Troy, MI 48083

Other Names 1

Former Name (1)Changhee Kim Hong

Other Identifiers 4

Medicare UPING23160
Medicare PIN0N12290MI
Medicare PIN0N82980MI
Medicaid4562401MI

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

Dr. Changhee Kim 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 ID7012804487
PECOS Enrollment IDI20040301000949
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D1018496

Changhee Kim MD Phd Plc · Troy, MI
Active · expires Oct 23, 2027
CLIA Number23D1018496
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorChanghee Kim
Laboratory Phone(248) 740-7771
Laboratory LocationChanghee Kim MD Phd Plc38815 Dequindre Road Suite 103, Troy, MI 48083
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 15

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
173 services15 patients
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.
171 services58 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.
152 services58 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
121 services67 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
99 services26 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
60 services53 patients

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 48083 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
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.

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
12 suppliers33 claims55 services$5.97 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers11 claims13 services$1.20 avg. paid by Medicare
Hospital bed, fixed height, with any type side rails, with mattress E0250
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$38.36 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 6

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

Surgery
38815 DEQUINDRE RD, STE 100
TROY, MI 48083
Obstetrics & Gynecology
38815 DEQUINDRE RD, SUITE 101
TROY, MI 48083
Obstetrics & Gynecology
38815 DEQUINDRE RD, STE 101
TROY, MI 48083
Obstetrics & Gynecology
38815 DEQUINDRE RD, SUITE 101
TROY, MI 48083
Family Medicine
38815 DEQUINDRE RD, SUITE 103
TROY, MI 48083
Psychologist (Addiction (Substance Use Disorder))
38815 DEQUINDRE RD
TROY, MI 48083

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 Changhee Kim's NPI number?

The NPI number for Changhee Kim is 1215918479. It was assigned to this individual provider in the NPPES registry on November 7, 2005. The provider is also known as Changhee Kim Hong.

Where is Changhee Kim located?

Changhee Kim practices at 38815 Dequindre Rd Ste 103, Troy, MI 48083. The listed phone number is (248) 740-7771.

What is Changhee Kim's specialty?

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

Is Changhee Kim enrolled in Medicare?

Yes. Changhee 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.

Does Changhee Kim hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D1018496) is associated with this NPI, valid through October 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Changhee 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 3 other insurers list Changhee 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 Changhee Kim affiliated with any hospitals?

According to CMS data, Changhee 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 Changhee Kim was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.