JU YOUNG KIM
NPI 1255913042
Family Medicine in Henderson, NC

Q: What is Ju Young Kim's NPI number?

The NPI number for Ju Young Kim is 1255913042. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Q: What is Ju Young Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ju Young Kim was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 22, 2021PECOS EnrolledAccepts Medicare Assignment

480 RUIN CREEK RD, HENDERSON, NC 27536(252) 492-3152(252) 430-1928 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2026, Apr 22, 2021 (2 updates tracked since 2021).

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About Ju Young Kim NPPES

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

JU YOUNG KIM (NPI 1255913042) is an individual family medicine provider in Henderson, North Carolina, licensed in North Carolina (2023-02323) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Duke University School Of Medicine (2021).

NPPES Registry Identity

NPI1255913042

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJU YOUNG KIM

Location Address480 RUIN CREEK RDHenderson, NC 27536-2929

Mailing Address480 Ruin Creek RdHenderson, NC 27536-2929 · (252) 492-3152 · Fax (252) 430-1928

Phone(252) 492-3152

Fax(252) 430-1928

Sole ProprietorYes

Medical School CMSDuke University School Of MedicineGraduated 2021

Enumeration DateApril 22, 2021

Last NPPES UpdateMarch 17, 20262 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1255913042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 2023-02323

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.

480 RUIN CREEK RD, Henderson, NC 27536

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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

Ju Young 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 ID6305255670

PECOS Enrollment IDI20251119003818

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 4

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

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Granville Health Systems

Acute Care Hospitals · Oxford, NC

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340127

Location1010 College StOxford, NC 27565 · Granville County

Emergency services Birthing friendly

Maria Parham Medical Center

Acute Care Hospitals · Henderson, NC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number340132

LocationPO Box 59Henderson, NC 27536 · Vance County

Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340155

Location3643 N Roxboro StreetDurham, NC 27704 · Durham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27536 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 18

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

STEPHANY VARELA ALVA MHS, PA-C

Physician Assistant