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DR. MOON JA KIM MD
NPI 1518074046
Psychiatry & Neurology - Psychiatry in Waukesha, WI

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
W231 N1440 CORPORATE CT, #310, WAUKESHA, WI 53186(262) 896-6186(262) 896-6139 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2024, Mar 7, 2023, Dec 1, 2021 (3 updates tracked since 2021).

About Dr. Moon Ja Kim Md NPPES

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

DR. MOON JA KIM MD (NPI 1518074046) is an individual psychiatry provider in Waukesha, Wisconsin, licensed in Wisconsin (35449) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1518074046
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MOON JA KIMCredential: MD
Location AddressW231 N1440 CORPORATE CT, #310Waukesha, WI 53186
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(262) 896-6186
Fax(262) 896-6139
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateAugust 23, 2006
Last NPPES UpdateAugust 7, 20243 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1518074046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WI · 35449
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
W231 N1440 CORPORATE CT, Waukesha, WI 53186
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Other Identifiers 1

Medicaid32463200WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Moon Ja 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.

PECOS PAC ID8325022874
PECOS Enrollment IDI20040614001313
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
117 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53186 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JUDITH L GRADY LCSW
Social Worker (Clinical)
W231 N1440 CORPORATE CT, #310
WAUKESHA, WI 53186
Waukesha County (262) 896-6186
MS. CARLA F KAMINSKI LCSW
Social Worker (Clinical)
W231 N1440 CORPORATE CT, #310
WAUKESHA, WI 53186
Waukesha County (262) 896-6186
DR. EDWARD J FORD MD
Emergency Medicine
W231 N1440 CORPORATE CT
WAUKESHA, WI 53186
Waukesha County (262) 896-6000
DR. PATRICK G KRISMER MD
Family Medicine
W231 N1440 CORPORATE CT
WAUKESHA, WI 53186
Waukesha County (262) 896-6000

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 Moon Ja Kim's NPI number?

The NPI number for Moon Ja Kim is 1518074046. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Moon Ja Kim located?

Moon Ja Kim practices at W231 N1440 Corporate Ct #310, Waukesha, WI 53186. The listed phone number is (262) 896-6186.

What is Moon Ja Kim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Moon Ja Kim enrolled in Medicare?

Yes. Moon Ja 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.

When was this NPI record last updated?

The NPPES record for Moon Ja Kim was last updated on August 7, 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.