NAHAE KIM MD, MPH
NPI 1366147399
Family Medicine in Kenosha, WI
About Nahae Kim Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NAHAE KIM MD, MPH (NPI 1366147399) is an individual family medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (87853-20) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and maintains a secondary practice location in Grayslake.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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 (PECOS)
Nahae Kim Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwestern Lake Forest Hospital
Acute Care Hospitals · Lake Forest, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53142 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Nahae Kim's NPI number?
The NPI number for Nahae Kim is 1366147399. It was assigned to this individual provider in the NPPES registry on March 31, 2023.
Where is Nahae Kim located?
Nahae Kim practices at 10222 74th St, Kenosha, WI 53142. The listed phone number is (262) 948-2600.
What is Nahae Kim's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nahae Kim enrolled in Medicare?
Yes. Nahae Kim is registered in the Medicare PECOS enrollment system.
What insurance does Nahae Kim accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Nahae 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 Nahae Kim affiliated with any hospitals?
According to CMS data, Nahae Kim is affiliated with Northwestern Lake Forest Hospital.
When was this NPI record last updated?
The NPPES record for Nahae Kim was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.
# Nahae Kim, MD, MPH · NPI 1366147399
Family Medicine physician in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since March 31, 2023.
## Identity
- **NPI:** 1366147399 (Entity type: Individual)
- **Enumerated:** March 31, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 87853-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 10222 74TH ST, Kenosha, WI 53142-6810
- **Phone:** (262) 948-2600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 22, 2026
- **Other identifiers:** Medicaid 100428490 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1366147399) · Data from the CMS NPPES public registry.