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LISA KIM MEDICAL ASSOCIATES SC
NPI 1285737700
Internal Medicine in Park Ridge, IL

Active since September 07, 2006CLIA 14D0704367 · Microscopy
2604 DEMPSTER ST, SUITE 300, PARK RIDGE, IL 60068(847) 296-1200(847) 296-7913 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa Kim Medical Associates Sc NPPES

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

LISA KIM MEDICAL ASSOCIATES SC (NPI 1285737700) is a healthcare organization registered as an internal medicine in Park Ridge, Illinois and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Lisa S Kim, President, as its authorized official.

NPPES Registry Identity

NPI1285737700
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLISA KIM MEDICAL ASSOCIATES SC
Location Address2604 DEMPSTER ST, SUITE 300Park Ridge, IL 60068-8427
Mailing Address2604 Dempster St, Suite 300Park Ridge, IL 60068-8427 · (847) 296-1200 · Fax (847) 296-7913
Phone(847) 296-1200
Fax(847) 296-7913
Organization SubpartNo
Authorized OfficialLisa S KimPresident · (847) 296-1200
Enumeration DateSeptember 7, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1285737700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
2604 DEMPSTER ST, Park Ridge, IL 60068
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Other Identifiers 1

Other01620216IL · Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Kim Medical Associates Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lisa Kim Medical Associates Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lisa Kim, M.D.
Internal Medicine
NPI 1942341250
2604 DEMPSTER ST STE 300
Park Ridge, IL 60068
(847) 296-1200
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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) 14D0704367

Lisa Kim Medical Associates Sc · Park Ridge, IL
Active · expires Aug 31, 2028
CLIA Number14D0704367
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorLisa S. Kim
Laboratory Phone(708) 296-1200
Laboratory LocationLisa Kim Medical Associates Sc2604 Dempster Suite 300, Park Ridge, IL 60068
CLIA data matches this NPI record on: Address Name
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.

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 Lisa Kim Medical Associates Sc's NPI number?

The NPI number for Lisa Kim Medical Associates Sc is 1285737700. It was assigned to this organization in the NPPES registry on September 7, 2006.

Where is Lisa Kim Medical Associates Sc located?

Lisa Kim Medical Associates Sc is located at 2604 Dempster St Suite 300, Park Ridge, IL 60068. The listed phone number is (847) 296-1200.

What is Lisa Kim Medical Associates Sc's specialty?

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

Is Lisa Kim Medical Associates Sc enrolled in Medicare?

Yes. Lisa Kim Medical Associates Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lisa Kim Medical Associates Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Lisa Kim Medical Associates Sc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lisa Kim Medical Associates Sc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0704367) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lisa Kim Medical Associates Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.