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

JIN HWAN KIM
NPI 1386221307
Emergency Medicine in Sheboygan, WI

Active since March 25, 2021PECOS EnrolledAccepts Medicare Assignment
3400 UNION AVE, SHEBOYGAN, WI 53081(920) 802-2100 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Jun 14, 2024, Mar 30, 2021 and 1 more (4 updates tracked since 2021).

About Jin Hwan Kim NPPES

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

JIN HWAN KIM (NPI 1386221307) is an individual emergency medicine provider in Sheboygan, Wisconsin, licensed in Wisconsin (81276-20) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1386221307
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJIN HWAN KIM
Location Address3400 UNION AVESheboygan, WI 53081-8426
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2021
Enumeration DateMarch 25, 2021
Last NPPES UpdateOctober 6, 20264 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1386221307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 81276-20
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3400 UNION AVE, Sheboygan, WI 53081

Secondary Practice Location 1

Location 18701 W Watertown Plank RdMilwaukee, WI 53226-3548 · Phone (414) 955-4578

Other Identifiers 1

Medicaid100222906WI

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

Jin Hwan 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 ID4981000155
PECOS Enrollment IDI20240712002613
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

2

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

Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
Emergency Medicine
10625 W NORTH AVE, SUITE 102
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Emergency Medicine Specialists Sc
  • 244 clinicians in this Medicare group

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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
57 services49 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
41 services40 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services20 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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 20

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

Nurse Practitioner
3400 UNION AVE
SHEBOYGAN, WI 53081
Nurse Anesthetist, Certified Registered
3400 UNION AVE
SHEBOYGAN, WI 53081
Obstetrics & Gynecology
3400 UNION AVE
SHEBOYGAN, WI 53081
Internal Medicine (Pulmonary Disease)
3400 UNION AVE
SHEBOYGAN, WI 53081
Nurse Practitioner (Family)
3400 UNION AVE
SHEBOYGAN, WI 53081
Physician Assistant
3400 UNION AVE
SHEBOYGAN, WI 53081
Hospitalist
3400 UNION AVE
SHEBOYGAN, WI 53081
Hospitalist
3400 UNION AVE
SHEBOYGAN, WI 53081

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 Jin Hwan Kim's NPI number?

The NPI number for Jin Hwan Kim is 1386221307. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Jin Hwan Kim located?

Jin Hwan Kim practices at 3400 Union Ave, Sheboygan, WI 53081. The listed phone number is (920) 802-2100.

What is Jin Hwan Kim's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jin Hwan Kim enrolled in Medicare?

Yes. Jin Hwan 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 Jin Hwan Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jin Hwan Kim reassigns Medicare benefits to 2 organizations: Aurora Medical Group, Inc. (Sheboygan, WI) and Emergency Medicine Specialists, S.C. (Milwaukee, WI). 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 Jin Hwan Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jin Hwan Kim affiliated with any hospitals?

According to CMS data, Jin Hwan Kim is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital, Ascension All Saints Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Jin Hwan Kim was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.