DR. TOM S. KIM M.D.
NPI 1457465676
Hospitalist in Kenosha, WI
About Dr. Tom S. Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TOM S. KIM M.D. (NPI 1457465676) is an individual hospitalist provider in Kenosha, Wisconsin, licensed in Illinois (036-113598) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Other Identifiers 1
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
Dr. Tom S. Kim M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Tom Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- 4,870 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 5
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Advocate Trinity Hospital
Acute Care Hospitals · Chicago, ILAdvocate Christ Hospital & Medical Center
Acute Care Hospitals · Oak Lawn, ILAdvocate Lutheran General Hospital
Acute Care Hospitals · Park Ridge, ILAdvocate Good Samaritan Hospital
Acute Care Hospitals · Downers Grove, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53142 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Tom Kim's NPI number?
The NPI number for Tom Kim is 1457465676. It was assigned to this individual provider in the NPPES registry on August 17, 2006.
Where is Tom Kim located?
Tom Kim practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 948-5108.
What is Tom Kim's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Tom Kim enrolled in Medicare?
Yes. Tom 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 organization bills Medicare for Tom Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tom Kim reassigns Medicare benefits to Lutheran General Hospital (Park Ridge, IL). The 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 Tom Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tom Kim affiliated with any hospitals?
According to CMS data, Tom Kim is affiliated with Advocate Trinity Hospital, Advocate Christ Hospital & Medical Center, Advocate Lutheran General Hospital and Advocate Good Samaritan Hospital.
When was this NPI record last updated?
The NPPES record for Tom Kim was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Dr. Tom S. Kim, M.D. · NPI 1457465676
Hospitalist physician in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since August 17, 2006.
## Identity
- **NPI:** 1457465676 (Entity type: Individual)
- **Enumerated:** August 17, 2006
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 036-113598 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 10400 75TH ST, Kenosha, WI 53142-7884
- **Phone:** (262) 948-5108
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lutheran General Hospital (NPI 1801809306, Park Ridge, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2002
## Record status
- **NPPES last updated:** March 20, 2025
- **Other identifiers:** Medicaid 100246942 (WI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1457465676) · Data from the CMS NPPES public registry.