ANDY TUKI KIM M.D.
NPI 1558789255
Anesthesiology in Mattoon, IL

Q: What is Andy Kim's NPI number?

The NPI number for Andy Kim is 1558789255. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Q: What is Andy Kim's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Andy Kim was last updated on May 6, 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.

Active since March 31, 2014PECOS EnrolledAccepts Medicare Assignment

1000 HEALTH CENTER DR, MATTOON, IL 61938(217) 258-2440(217) 258-2186 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 6, 2022, Jan 3, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Andy Tuki Kim M.d. NPPES

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

ANDY TUKI KIM M.D. (NPI 1558789255) is an individual anesthesiology provider in Mattoon, Illinois, licensed in Illinois (036144439) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1558789255

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameANDY TUKI KIMCredential: M.D.

Location Address1000 HEALTH CENTER DRMattoon, IL 61938-4644

Mailing Address1005 Health Center Dr Ste 201Mattoon, IL 61938-4653 · (217) 868-2812

Phone(217) 258-2440

Fax(217) 258-2186

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 31, 2014

Last NPPES UpdateMay 6, 20224 updates tracked since enumeration

NPPES CertifiedMay 6, 2022

✔ NPI 1558789255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in IL · 036144439

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1000 HEALTH CENTER DR, Mattoon, IL 61938

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Secondary Practice Locations 3

Location 11155 Mill StReno, NV 89502-1576 · Phone (443) 931-2491

Location 2800 E Carpenter StSpringfield, IL 62769-3328 · Phone (217) 544-6464

Location 32160 S 1st AveMaywood, IL 60153-3328 · Phone (708) 216-6462

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

Andy Tuki Kim M.d. 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 ID6901127315

PECOS Enrollment IDI20180802002013

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.

Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447

This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.

54 services54 patients

Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415

This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.

28 services28 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Johns Hospital

Acute Care Hospitals · Springfield, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140053

Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County

Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

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.

DR. DOMINIC PERRINO D.O.

Hospitalist