JEONG-A KIM
NPI 1457891202
Pediatrics in Chicago, IL

Q: What is Jeong-a Kim's NPI number?

The NPI number for Jeong-a Kim is 1457891202. It was assigned to this individual provider in the NPPES registry on February 27, 2017.

Q: What is Jeong-a Kim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jeong-a Kim was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 February 27, 2017PECOS Enrolled

5841 S MARYLAND AVE # MC1052, CHICAGO, IL 60637(773) 702-1000 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2019, Jun 9, 2019, Feb 27, 2017 (3 updates tracked since 2017).

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About Jeong-a Kim NPPES

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

JEONG-A KIM (NPI 1457891202) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (125.073651) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457891202

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJEONG-A KIM

Location Address5841 S MARYLAND AVE # MC1052Chicago, IL 60637-1443

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150

Phone(773) 702-1000

Sole ProprietorNo

Enumeration DateFebruary 27, 2017

Last NPPES UpdateJune 13, 20193 updates tracked since enumeration

✔ NPI 1457891202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 125.073651

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5841 S MARYLAND AVE # MC1052, Chicago, IL 60637

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Secondary Practice Locations 2

Location 13901 Beaubien St, Neurology Department Ground FloorDetroit, MI 48201-2119 · Phone (313) 832-9612

Location 25721 S Maryland AveChicago, IL 60637-1425 · Phone (773) 702-6760

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeong-a 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 60637 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.

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. DERRIUS J. ANDERSON MD

Surgery