THOMAS OUYJUUNG KIM MD
NPI 1407083488
Family Medicine in Chicago, IL

Active since June 17, 2009PECOS EnrolledAccepts Medicare Assignment
5359 W FULLERTON AVE, CHICAGO, IL 60639(773) 836-2785(773) 836-7381 Get Directions Write a Review

NPPES record last updated: December 24, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 24, 2019, Mar 17, 2018, Aug 29, 2017 (3 updates tracked since 2017).

About Thomas Ouyjuung Kim Md NPPES

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

THOMAS OUYJUUNG KIM MD (NPI 1407083488) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036143911) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lynn, and is a graduate of Northwestern University Feinberg Medical School (2009).

NPPES Registry Identity

NPI1407083488
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS OUYJUUNG KIMCredential: MD
Location Address5359 W FULLERTON AVEChicago, IL 60639-1450
Mailing AddressPo Box 526Lynn, MA 01903-0626 · (781) 581-3900 · Fax (781) 598-1050
Fax(773) 836-7381
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2009
Enumeration DateJune 17, 2009
Last NPPES UpdateDecember 24, 20193 updates tracked since enumeration
NPI 1407083488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IL · 036143911 Licensed in MA · 241080
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.

5359 W FULLERTON AVE, Chicago, IL 60639

Secondary Practice Location 1

Location 1269 Union StLynn, MA 01901-1314 · Phone (781) 581-3900 · Fax (781) 598-1050

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 and accepts Medicare assignment

Thomas Ouyjuung Kim Md 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 ID3971759838
PECOS Enrollment IDI20170916000038
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 60639 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims28 services$4.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dentist
5359 W FULLERTON AVE
CHICAGO, IL 60639
Social Worker (Clinical)
5359 W FULLERTON AVE
CHICAGO, IL 60639
Family Medicine
5359 W FULLERTON AVE, PCC SALUD FAMILY HEALTH CENTER
CHICAGO, IL 60639
Family Medicine
5359 W FULLERTON AVE
CHICAGO, IL 60639
Dietitian, Registered
5359 W FULLERTON AVE
CHICAGO, IL 60639
Social Worker (Clinical)
5359 W FULLERTON AVE
CHICAGO, IL 60639
Social Worker (Clinical)
5359 W FULLERTON AVE
CHICAGO, IL 60639
Family Medicine
5359 W FULLERTON AVE
CHICAGO, IL 60639

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407083488, enumerated as an "individual" on June 17, 2009.

The provider is located at 5359 W FULLERTON AVE CHICAGO, IL 60639 and the phone number is (773) 836-2785.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health. Please consult your insurance carrier or call the provider to verify.