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JOSHUA SOO BIN KIM
NPI 1407695265
Ophthalmology in Chicago, IL

Active since May 22, 2024PECOS Enrolled
1950 W POLK ST, CHICAGO, IL 60612(312) 864-0200 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Joshua Soo Bin Kim NPPES

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

JOSHUA SOO BIN KIM (NPI 1407695265) is an individual ophthalmology provider in Chicago, Illinois, licensed in Illinois (125.085947) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1407695265
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOSHUA SOO BIN KIM
Location Address1950 W POLK STChicago, IL 60612-3723
Mailing Address1950 W Polk StChicago, IL 60612-3723
Phone(312) 864-0200
Sole ProprietorNo
Enumeration DateMay 22, 2024
Last NPPES UpdateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1407695265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in IL · 125.085947
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1950 W POLK ST, Chicago, IL 60612
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Secondary Practice Location 1

Location 11201 S Grand BlvdSaint Louis, MO 63104-1016 · Phone (314) 977-9870

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joshua Soo Bin Kim 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 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

DR. PETRINA CHINO D.P.M.
Podiatrist (Foot & Ankle Surgery)
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-2245
CHRISTOPHER PAYNE
Nurse Anesthetist, Certified Registered
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-6000
SHARAN HARISH MALKANI MD
Internal Medicine
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-7311
ATHINA SIMOTAS DO
Ophthalmology
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. MOUNIKA LAKSHMI ALLAM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1950 W POLK ST, SUITE 4811, JOHN H STROGER HOSPITAL OF COOK COUNTY
CHICAGO, IL 60612
Cook County (312) 864-0200
MRS. ANU NAVEEN CYRIAC APRN
Family Medicine
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-7000
NATALIE MAINLAND
Urology
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-0395
DR. KIARA DANIELLE WHITE MD
Family Medicine
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-2855

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 Joshua Kim's NPI number?

The NPI number for Joshua Kim is 1407695265. It was assigned to this individual provider in the NPPES registry on May 22, 2024.

Where is Joshua Kim located?

Joshua Kim practices at 1950 W Polk St, Chicago, IL 60612. The listed phone number is (312) 864-0200.

What is Joshua Kim's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Joshua Kim enrolled in Medicare?

Yes. Joshua Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joshua Kim was last updated on May 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.