DR. HYUN JAE KIM MD
NPI 1528943602
Internal Medicine - Gastroenterology in Phoenix, AZ

Active since August 08, 2025PECOS Enrolled
5777 E MAYO BLVD, PHOENIX, AZ 85054(480) 342-2000 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 2, 2025, Aug 8, 2025 (2 updates tracked since 2025).

About Dr. Hyun Jae Kim Md NPPES

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

DR. HYUN JAE KIM MD (NPI 1528943602) is an individual gastroenterology provider in Phoenix, Arizona, licensed in Arizona (R81968) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528943602
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. HYUN JAE KIMCredential: MD
Location Address5777 E MAYO BLVDPhoenix, AZ 85054-4502
Mailing Address6800 E Mayo Blvd Apt 1409Phoenix, AZ 85054-5621 · (480) 932-4773
Sole ProprietorNo
Enumeration DateAugust 8, 2025
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
NPI 1528943602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in AZ · R81968
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

5777 E MAYO BLVD, Phoenix, AZ 85054

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Hyun Jae Kim Md 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 85054 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Pharmacist (Pharmacotherapy)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Emergency Medicine
5777 E MAYO BLVD
PHOENIX, AZ 85054
Occupational Therapist
5777 E MAYO BLVD
PHOENIX, AZ 85054
Radiology (Vascular & Interventional Radiology)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Physician Assistant (Medical)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Physical Therapist
5777 E MAYO BLVD
PHOENIX, AZ 85054
Physical Therapist
5777 E MAYO BLVD
PHOENIX, AZ 85054
Occupational Therapist
5777 E MAYO BLVD
PHOENIX, AZ 85054

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528943602, enumerated as an "individual" on August 08, 2025.

The provider is located at 5777 E MAYO BLVD PHOENIX, AZ 85054 and the phone number is (480) 342-2000.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.