DR. HYUNJU JANE IM MD
NPI 1508109893
Pediatrics in Hartford, CT
About Dr. Hyunju Jane Im Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HYUNJU JANE IM MD (NPI 1508109893) is an individual pediatrics provider in Hartford, Connecticut, licensed in Connecticut (60900) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Hyunju Jane Im Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Hyunju Im reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 601 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HARTFORD, CT 06106
HARTFORD, CT 06106
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 Hyunju Im's NPI number?
The NPI number for Hyunju Im is 1508109893. It was assigned to this individual provider in the NPPES registry on April 4, 2013.
Where is Hyunju Im located?
Hyunju Im practices at 282 Washington St Medical Education, 4H, Hartford, CT 06106. The listed phone number is (860) 545-9973.
What is Hyunju Im's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Hyunju Im enrolled in Medicare?
Yes. Hyunju Im is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Hyunju Im's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hyunju Im reassigns Medicare benefits to Connecticut Children's Specialty Group, Inc. (Hartford, CT). 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 Hyunju Im's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hyunju Im accept?
Health plans from Anthem Blue Cross and Blue Shield list Hyunju Im 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.
When was this NPI record last updated?
The NPPES record for Hyunju Im was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Hyunju Jane Im, MD · NPI 1508109893
Pediatrics physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since April 4, 2013.
## Identity
- **NPI:** 1508109893 (Entity type: Individual)
- **Enumerated:** April 4, 2013
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 60900 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 282 WASHINGTON ST, MEDICAL EDUCATION, 4H, Hartford, CT 06106
- **Phone:** (860) 545-9973 · **Fax:** (860) 545-9973
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Connecticut Children's Specialty Group, Inc. (NPI 1669448882, Hartford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1508109893) · Data from the CMS NPPES public registry.