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EDWARD J KIM MD
NPI 1588198626
Family Medicine in Hometown, IL

Active since April 15, 2017PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
4140 SOUTHWEST HWY, HOMETOWN, IL 60456(708) 422-5700(708) 422-8225 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 20, 2025, Jan 30, 2019, Apr 15, 2017 (3 updates tracked since 2017).

About Edward J Kim Md NPPES

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

EDWARD J KIM MD (NPI 1588198626) is an individual family medicine provider in Hometown, Illinois, licensed in Illinois (125.072376) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1588198626
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDWARD J KIMCredential: MD
Location Address4140 SOUTHWEST HWYHometown, IL 60456-1135
Mailing Address4140 Southwest HwyHometown, IL 60456-1135 · (708) 422-5700 · Fax (708) 422-8225
Phone(708) 422-5700
Fax(708) 422-8225
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 15, 2017
Last NPPES UpdateFebruary 20, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
✔ NPI 1588198626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 125.072376✔ Licensed in IL · 036157587
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4140 SOUTHWEST HWY, Hometown, IL 60456
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1825 Fairfax Ave, Apt 2Norfolk, VA 23507-1914 · Phone (757) 446-5738
Location 2635 N Dearborn St Ste 100Chicago, IL 60654-4618 · Phone (312) 694-2273 · Fax (312) 694-2129

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edward J 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 ID5597153494
PECOS Enrollment IDI20211026002523
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 Reassignments

3

Medicare enrollment records show Edward Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center
7.3 mi
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 1,905 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530
University Of Chicago
7.3 mi
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1477262046 (Illinois)
  • 2,237 clinicians in this Medicare group
NPI 1821048786 (773) 702-9200
Northwestern Medical Faculty Foundation
35 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
525 services506 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
100 services90 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
89 services87 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
68 services68 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
35 services33 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
27 services27 patients

Hospital Affiliations CMS Care Compare 3

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL
2/5 CMS rating
OwnershipPhysician
CMS Certification Number140191
Location1 Ingalls DriveHarvey, IL 60426 · Cook County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60456 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.43
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

ALON BLOOM M.D.
Family Medicine
4140 SOUTHWEST HWY, ADVOCATE CHRIST FAMILY MEDICINE
HOMETOWN, IL 60456
Cook County (708) 422-5700
ADVOCATE CHRIST FAMILY MEDICINE CENTER
Clinic/Center (Primary Care)
4140 SOUTHWEST HWY
HOMETOWN, IL 60456
Cook County (708) 422-5700
CARRIE SALVIA D.O.
Family Medicine
4140 SOUTHWEST HWY
HOMETOWN, IL 60456
Cook County (708) 422-5700
ADVOCATE CHRIST MEDICAL CENTER
Family Medicine
4140 SOUTHWEST HWY
HOMETOWN, IL 60456
Cook County (708) 422-5700
DAVID MICHAEL PODREBARAC M.D.
Family Medicine
4140 SOUTHWEST HWY
HOMETOWN, IL 60456
Cook County (708) 422-5700
ALICE-GRAY LEWIS DO
Family Medicine
4140 SOUTHWEST HWY
HOMETOWN, IL 60456
Cook County (708) 422-5700
DR. ANNA MARIE LAND M.D.
Family Medicine
4140 SOUTHWEST HWY
HOMETOWN, IL 60456
Cook County (708) 422-5700
KATY L WUMMEL M.D.
Family Medicine
4140 SOUTHWEST HWY
HOMETOWN, IL 60456
Cook County (708) 422-5700

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 Edward Kim's NPI number?

The NPI number for Edward Kim is 1588198626. It was assigned to this individual provider in the NPPES registry on April 15, 2017.

Where is Edward Kim located?

Edward Kim practices at 4140 Southwest Hwy, Hometown, IL 60456. The listed phone number is (708) 422-5700.

What is Edward Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Edward Kim enrolled in Medicare?

Yes. Edward 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.

Which organizations bill Medicare for Edward Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Kim reassigns Medicare benefits to 3 organizations: The University Of Chicago Medical Center (Chicago, IL), University Of Chicago (Chicago, IL) and Northwestern Medical Faculty Foundation (Carol Stream, IL). Each 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 Edward Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Kim accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Edward 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.

Is Edward Kim affiliated with any hospitals?

According to CMS data, Edward Kim is affiliated with The University Of Chicago Medical Center, Ingalls Memorial Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Edward Kim was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.