DR. STEPHANIE KIM M.D.
NPI 1457546509
Internal Medicine in Minneapolis, MN

Q: What is Stephanie Kim's NPI number?

The NPI number for Stephanie Kim is 1457546509. It was assigned to this individual provider in the NPPES registry on September 12, 2007.

Q: What is Stephanie Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Kim was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 September 12, 2007PECOS Enrolled

4730 CHICAGO AVE, MINNEAPOLIS, MN 55407(952) 883-6805(952) 853-8864 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2021, Jul 23, 2020 (2 updates tracked since 2020).

On this page

About Dr. Stephanie Kim M.d. NPPES

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

DR. STEPHANIE KIM M.D. (NPI 1457546509) is an individual internal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (52474) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457546509

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. STEPHANIE KIMCredential: M.D.

Location Address4730 CHICAGO AVEMinneapolis, MN 55407-3570

Mailing Address8170 33rd Ave S, Ms 21110qBloomington, MN 55425-4516

Phone(952) 883-6805

Fax(952) 853-8864

Sole ProprietorNo

Enumeration DateSeptember 12, 2007

Last NPPES UpdateJuly 15, 20212 updates tracked since enumeration

NPPES CertifiedJuly 15, 2021

✔ NPI 1457546509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MN · 52474

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 104626 (MN)

4730 CHICAGO AVE, Minneapolis, MN 55407

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephanie Kim M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Group Health, Inc.

Same address

Multi-Specialty

4730 CHICAGO AVE
Minneapolis, MN 55407

Reassigned Medicare billing, Minnesota enrollment
2,274 clinicians in this Medicare group

NPI 1710924683 (952) 967-7485

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 3

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

63 services55 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

50 services50 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

LEE W ROCK MD

Family Medicine (Geriatric Medicine)

4730 CHICAGO AVE
MINNEAPOLIS, MN 55407

Hennepin County (952) 883-6805

BETHEL M AVERBECK MD

Internal Medicine

4730 CHICAGO AVE
MINNEAPOLIS, MN 55407

Hennepin County (952) 883-6805

LEANN M WEST M.D.

Pediatrics

4730 CHICAGO AVE
MINNEAPOLIS, MN 55407

Hennepin County (612) 313-0000

MRS. TAMARA ANN ERSKINE

Nurse Practitioner

4730 CHICAGO AVE
MINNEAPOLIS, MN 55407

Hennepin County (952) 883-6805

CARLY ELIZABETH KILGORE NP

Nurse Practitioner

4730 CHICAGO AVE
MINNEAPOLIS, MN 55407

Hennepin County (952) 883-6805

SARAH ELIZABETH OSENDORF NP-C

Nurse Practitioner

4730 CHICAGO AVE, MS 26602G
MINNEAPOLIS, MN 55407

Hennepin County (952) 883-6805

DR. GEOFFREY GEORGES GERARDIN

Family Medicine

4730 CHICAGO AVE
MINNEAPOLIS, MN 55407

Hennepin County (612) 313-0000

ANGELA NEVIN APNP

Nurse Practitioner

4730 CHICAGO AVE
MINNEAPOLIS, MN 55407

Hennepin County (952) 883-6805

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 Stephanie Kim's NPI number?

The NPI number for Stephanie Kim is 1457546509. It was assigned to this individual provider in the NPPES registry on September 12, 2007.

Where is Stephanie Kim located?

Stephanie Kim practices at 4730 Chicago Ave, Minneapolis, MN 55407. The listed phone number is (952) 883-6805.

What is Stephanie Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stephanie Kim enrolled in Medicare?

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

Which organization bills Medicare for Stephanie Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Kim reassigns Medicare benefits to Group Health, Inc. (Minneapolis, MN). 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 Stephanie Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Kim was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.