CAROLINE KIM DO
NPI 1376123752
Family Medicine in Olympia Fields, IL

Q: What is Caroline Kim's NPI number?

The NPI number for Caroline Kim is 1376123752. It was assigned to this individual provider in the NPPES registry on April 10, 2021.

Q: What is Caroline 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 Caroline Kim was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 10, 2021PECOS EnrolledAccepts Medicare Assignment

3700 W 203RD ST STE 301, OLYMPIA FIELDS, IL 60461(708) 679-2850(708) 503-3815 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2024, Apr 11, 2021 (2 updates tracked since 2021).

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About Caroline Kim Do NPPES

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

CAROLINE KIM DO (NPI 1376123752) is an individual family medicine provider in Olympia Fields, Illinois, licensed in Illinois (036171732) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Francis Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376123752

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameCAROLINE KIMCredential: DO

Location Address3700 W 203RD ST STE 301Olympia Fields, IL 60461-1182

Mailing Address1200 Brookwood Dr Apt 354Little Rock, AR 72202-1451 · (407) 920-2971

Phone(708) 679-2850

Fax(708) 503-3815

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateApril 10, 2021

Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1376123752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036171732

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.

3700 W 203RD ST STE 301, Olympia Fields, IL 60461

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Secondary Practice Locations 2

Location 11 Childrens Way # 530Little Rock, AR 72202-3500 · Phone (501) 686-8820

Location 24301 W Markham St # 530Little Rock, AR 72205-7101 · Phone (501) 686-8820

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caroline 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 ID9335541416

PECOS Enrollment IDI20240927002244

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.

Medicare Billing Reassignments

Medicare enrollment records show Caroline Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialty Physicians Of Illinois, LLC

4.8 mi

Urgent Care

20180 S LAGRANGE RD
Frankfort, IL 60423

Reassigned Medicare billing, Illinois enrollment
148 clinicians in this Medicare group

NPI 1962024612 (815) 464-2010

Prime Healthcare Illinois Medical Group LLC

37 mi

Multi-Specialty

2380 E DEMPSTER ST
Des Plaines, IL 60016

Reassigned Medicare billing, Illinois enrollment
443 clinicians in this Medicare group

NPI 1023837689 (833) 291-0464

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

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

25 services24 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

22 services21 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140080

Location355 Ridge AveEvanston, IL 60202 · Cook County

Emergency services

Franciscan Health Olympia & Chicago Heights

Acute Care Hospitals · Olympia Fields, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140172

Location20201 S Crawford AvenueOlympia Fields, IL 60461 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60461 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 4

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

ANTHONY MICHAEL GASBARRO FNP-C

Nurse Practitioner (Family)

3700 W 203RD ST STE 301
OLYMPIA FIELDS, IL 60461

Cook County (708) 679-2850

MS. SYDNEY MARIE LAFRENIER PA-C

Physician Assistant

3700 W 203RD ST STE 301
OLYMPIA FIELDS, IL 60461

Cook County (708) 679-2850

JUSTIN LI DO

Hospitalist

3700 W 203RD ST STE 301
OLYMPIA FIELDS, IL 60461

Cook County (708) 679-2850

MARIE MICHELE BAIRD D.O.

Family Medicine

3700 W 203RD ST STE 301
OLYMPIA FIELDS, IL 60461

Cook County (708) 679-2850

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 Caroline Kim's NPI number?

The NPI number for Caroline Kim is 1376123752. It was assigned to this individual provider in the NPPES registry on April 10, 2021.

Where is Caroline Kim located?

Caroline Kim practices at 3700 W 203rd St Ste 301, Olympia Fields, IL 60461. The listed phone number is (708) 679-2850.

What is Caroline Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Caroline Kim enrolled in Medicare?

Yes. Caroline Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Caroline Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Kim reassigns Medicare benefits to 2 organizations: Specialty Physicians Of Illinois, LLC (Frankfort, IL) and Prime Healthcare Illinois Medical Group LLC (Des Plaines, IL). Each 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 Caroline Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Caroline Kim affiliated with any hospitals?

According to CMS data, Caroline Kim is affiliated with Presence Saint Francis Hospital and Franciscan Health Olympia & Chicago Heights.

When was this NPI record last updated?

The NPPES record for Caroline Kim was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.