DR. MIN SOO KIM D.M.D
NPI 1528449873
Dentist in Aurora, IL

Q: What is Min Kim's NPI number?

The NPI number for Min Kim is 1528449873. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Q: What is Min Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Min Kim was last updated on February 1, 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.

Active since June 12, 2015PECOS Enrolled

4260 WESTBROOK DR STE 105, AURORA, IL 60504(630) 851-0450 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Min Soo Kim D.m.d NPPES

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

DR. MIN SOO KIM D.M.D (NPI 1528449873) is an individual dentist in Aurora, Illinois, licensed in Indiana (12012332A) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Midwestern University College Of Dental Medicine, Downers Grove (2015).

NPPES Registry Identity

NPI1528449873

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. MIN SOO KIMCredential: D.M.D

Location Address4260 WESTBROOK DR STE 105Aurora, IL 60504-8136

Mailing Address2701 N Dirksen PkwySpringfield, IL 62702-1407 · (217) 814-0407

Phone(630) 851-0450

Sole ProprietorNo

Medical School CMSMidwestern University College Of Dental Medicine, Downers GroveGraduated 2015

Enumeration DateJune 12, 2015

Last NPPES UpdateFebruary 1, 2024

NPPES CertifiedFebruary 1, 2024

✔ NPI 1528449873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12012332A

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4260 WESTBROOK DR STE 105, Aurora, IL 60504

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, BEST Life and more.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. Min Soo Kim D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830631175

PECOS Enrollment IDI20240603002142

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 Min Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sleep Better Inc

Same address

General Practice

4260 WESTBROOK DR STE 105
Aurora, IL 60504

Reassigned Medicare billing, Illinois enrollment
2 clinicians in this Medicare group

NPI 1639988181 (815) 434-6411

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 60504 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Michele ***** April 8, 2024

5/5

Dr. Kim is a great dentist and has wonderful people skills, too! He is knowledgeable and dedicated to helping you with your dental needs. I would recommend Dr. Kim!

Provider 5/5 Office Staff 5/5

Visited this provider? Share your experience.

Other Providers at the Same Location NPPES

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

SLEEP BETTER INC

Dentist (General Practice)

4260 WESTBROOK DR STE 105
AURORA, IL 60504

Dupage County (815) 434-6411

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 Min Kim's NPI number?

The NPI number for Min Kim is 1528449873. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Min Kim located?

Min Kim practices at 4260 Westbrook Dr Ste 105, Aurora, IL 60504. The listed phone number is (630) 851-0450.

What is Min Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Min Kim enrolled in Medicare?

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

Which organization bills Medicare for Min Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Min Kim reassigns Medicare benefits to Sleep Better Inc (Aurora, IL). 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 Min Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Min Kim accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Min 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.

When was this NPI record last updated?

The NPPES record for Min Kim was last updated on February 1, 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.