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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NAHAE KIM MD, MPH
NPI 1366147399
Family Medicine in Kenosha, WI

Active since March 31, 2023PECOS Enrolled
10222 74TH ST, KENOSHA, WI 53142(262) 948-2600 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 22, 2026, Jun 17, 2023, Mar 31, 2023 (3 updates tracked since 2023).

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 and maintains a secondary practice location in Grayslake.

NPPES Registry Identity

NPI1366147399
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNAHAE KIMCredential: MD, MPH
Location Address10222 74TH STKenosha, WI 53142-6810
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(262) 948-2600
Sole ProprietorNo
Enumeration DateMarch 31, 2023
Last NPPES UpdateSeptember 22, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1366147399 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 WI · 87853-20✔ Licensed in IL · 125.081885
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
10222 74TH ST, Kenosha, WI 53142
Open in Google Maps ↗

Secondary Practice Location 1

Location 11475 E Belvidere Rd Unit 385Grayslake, IL 60030-2026 · Phone (847) 535-7157

Other Identifiers 1

Medicaid100428490WI

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).

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.

Physician 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.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 7

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

SPORTS PHYSICAL THERAPISTS, LLC
Physical Therapist
10222 74TH ST, SUITE 211
KENOSHA, WI 53142
Kenosha County (262) 925-5020
CARMELO D TENUTA PT
Physical Therapist
10222 74TH ST, SUITE 211
KENOSHA, WI 53142
Kenosha County (262) 925-5020
MS. FATEMEH SADRY APNP
Nurse Practitioner (Family)
10222 74TH ST
KENOSHA, WI 53142
Kenosha County (262) 697-9200
NICOLE M IWANOWSKI OTR/L, CLT
Occupational Therapist
10222 74TH ST, SUITE 211
KENOSHA, WI 53142
Kenosha County (262) 925-5020
KATIE BARTELAK MS, OTR/L, CLT
Occupational Therapist
10222 74TH ST, 211
KENOSHA, WI 53142
Kenosha County (262) 925-5020
RACHAEL MIDDAY DPT, CKTP
Physical Therapist
10222 74TH ST, SUITE 211
KENOSHA, WI 53142
Kenosha County (262) 925-5020
JENNIFER BETH ALBERT APN/CNP
Nurse Practitioner
10222 74TH ST
KENOSHA, WI 53142
Kenosha County (262) 697-9200

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.

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 18 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.