JAE YONG KIM MD
NPI 1497287635
Ophthalmology in Dearborn, MI
About Jae Yong Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAE YONG KIM MD (NPI 1497287635) is an individual ophthalmology provider in Dearborn, Michigan, licensed in Michigan (4301507485) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted 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
Jae Yong 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jae Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dearborn, MI 48124
- Reassigned Medicare billing, Michigan enrollment
- 731 clinicians in this Medicare group
Sterling Heights, MI 48310
- Reassigned Medicare billing, Michigan enrollment
Grand Rapids, MI 49525
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Blue Sky Vision Eye Care PC
- 60 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 23
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Harper University Hospital
Acute Care Hospitals · Detroit, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
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 Jae Kim's NPI number?
The NPI number for Jae Kim is 1497287635. It was assigned to this individual provider in the NPPES registry on March 28, 2017.
Where is Jae Kim located?
Jae Kim practices at 1922 Monroe St, Dearborn, MI 48124. The listed phone number is (313) 274-7540.
What is Jae Kim's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Jae Kim enrolled in Medicare?
Yes. Jae 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 organizations bill Medicare for Jae Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jae Kim reassigns Medicare benefits to 3 organizations: University Physician Group (Dearborn, MI), Eyecue Solutions PLLC (Sterling Heights, MI) and Blue Sky Vision Eye Care, P.C (Grand Rapids, MI). Each 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 Jae Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jae Kim accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 6 other insurers list Jae Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jae Kim affiliated with any hospitals?
According to CMS data, Jae Kim is affiliated with Harper University Hospital.
When was this NPI record last updated?
The NPPES record for Jae Kim was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jae Yong Kim, MD · NPI 1497287635
Ophthalmology physician in Dearborn, Michigan. Individual provider, active in the CMS NPPES registry since March 28, 2017.
## Identity
- **NPI:** 1497287635 (Entity type: Individual)
- **Enumerated:** March 28, 2017
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 4301507485 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1922 MONROE ST, Dearborn, MI 48124-2917
- **Phone:** (313) 274-7540
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): University Physician Group (NPI 1851630206, Dearborn, MI); Eyecue Solutions PLLC (NPI 1942058904, Sterling Heights, MI); Blue Sky Vision Eye Care, P.C (NPI 1801977202, Grand Rapids, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Univ Of Central Florida, College Of Medicine, class of 2017
## Record status
- **NPPES last updated:** February 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1497287635) · Data from the CMS NPPES public registry.