DR. JI SUN JOY KIM DO
NPI 1346828332
Family Medicine in Omaha, NE

Q: What is Ji Sun Kim's NPI number?

The NPI number for Ji Sun Kim is 1346828332. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Q: What is Ji Sun 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 Ji Sun Kim was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 March 31, 2021PECOS EnrolledAccepts Medicare Assignment

10060 REGENCY CIR, OMAHA, NE 68114(402) 354-1431(402) 354-1545 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2024, Jun 13, 2024, Oct 11, 2021 and 3 more (6 updates tracked since 2021).

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About Dr. Ji Sun Joy Kim Do NPPES

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

DR. JI SUN JOY KIM DO (NPI 1346828332) is an individual family medicine provider in Omaha, Nebraska, licensed in Nebraska (2930) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with The Nebraska Methodist Hospital, and is a graduate of Campbell Univ School Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1346828332

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JI SUN JOY KIMCredential: DO

Location Address10060 REGENCY CIROmaha, NE 68114-3732

Mailing AddressPo Box 3755Omaha, NE 68103-0755 · (402) 354-2100 · Fax (402) 354-2155

Phone(402) 354-1431

Fax(402) 354-1545

Sole ProprietorNo

Medical School CMSCampbell Univ School Of Osteopathic MedicineGraduated 2021

Enumeration DateMarch 31, 2021

Last NPPES UpdateSeptember 19, 20246 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2024

✔ NPI 1346828332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NE · 2930✔ Licensed in IL · 125.078708

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10060 REGENCY CIR, Omaha, NE 68114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and more.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. Ji Sun Joy Kim Do 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 ID547705980

PECOS Enrollment IDI20240710002940

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 2

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.

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.

16 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280040

Location8303 Dodge StOmaha, NE 68114 · Douglas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68114 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

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.

JEFFREY S SARTIN MD

Internal Medicine (Infectious Disease)