JUSTIN DAEJUN KIM
NPI 1366029035
Internal Medicine in Gainesville, FL

Q: What is Justin Kim's NPI number?

The NPI number for Justin Kim is 1366029035. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Q: What is Justin Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Justin Kim was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 26, 2021PECOS EnrolledAccepts Medicare Assignment

1601 SW ARCHER RD, GAINESVILLE, FL 32608(352) 376-1611 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2024, Mar 29, 2021, Mar 26, 2021 (3 updates tracked since 2021).

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About Justin Daejun Kim NPPES

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

JUSTIN DAEJUN KIM (NPI 1366029035) is an individual internal medicine provider in Gainesville, Florida, licensed in Florida (ME165923) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366029035

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJUSTIN DAEJUN KIM

Location Address1601 SW ARCHER RDGainesville, FL 32608-1135

Mailing Address6577 Sw 77th DrGainesville, FL 32608-0136 · (813) 522-2452

Phone(352) 376-1611

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 26, 2021

Last NPPES UpdateAugust 16, 20243 updates tracked since enumeration

NPPES CertifiedAugust 16, 2024

✔ NPI 1366029035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME165923

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.

1601 SW ARCHER RD, Gainesville, FL 32608

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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

Justin Daejun 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 ID42616302

PECOS Enrollment IDI20240905004140

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

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100113

Location1600 SW Archer RdGainesville, FL 32610 · Alachua County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32608 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

MS. CATHY JEANNE PRICE LCSW

Social Worker (Clinical)