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

Q: What is Thomas Kim's NPI number?

The NPI number for Thomas Kim is 1407083488. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Q: What is Thomas 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 Thomas Kim was last updated on December 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 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: November 01, 2026.

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

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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

Phone(773) 836-2785

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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

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.

Medicare Billing Reassignments

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

Pcc Community Wellness Center

2.6 mi

Federally Qualified Health Center (FQHC)

14 LAKE ST
Oak Park, IL 60302

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

NPI 1871516799 (708) 383-0113

Esperanza Health Centers

5.8 mi

Federally Qualified Health Center (FQHC)

2001 S. CALIFORNIA AVE, SUITE 100
Chicago, IL 60608

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

NPI 1124187125 (773) 584-1635

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

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.

KRISTEN MARIE MOSER M.D.

Family Medicine