JISOON KIM M.D.
NPI 1598024937
Student in an Organized Health Care Education/Training Program in Oak Lawn, IL

Active since May 04, 2012PECOS Enrolled
100/100
CMS Quality Rating
4440 W 95TH ST, OAK LAWN, IL 60453(708) 684-5673 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jisoon Kim M.d. NPPES

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

JISOON KIM M.D. (NPI 1598024937) is an individual student in an organized health care education/training program in Oak Lawn, Illinois and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1598024937
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJISOON KIMCredential: M.D.
Location Address4440 W 95TH STOak Lawn, IL 60453-2600
Mailing Address5841 S Maryland AveChicago, IL 60637-1447 · (773) 702-6536
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 4, 2012
Last NPPES UpdateJanuary 27, 2016
NPI 1598024937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4440 W 95TH ST, Oak Lawn, IL 60453

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jisoon Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264735091
PECOS Enrollment IDI20180413000833
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 5

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
91 services89 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services16 patients
Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720
This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.
32 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services12 patients
Measurement of brain wave activity (eeg), 2-12 hours with health care professional review and report 95717
This procedure records your brain's electrical activity for 2-12 hours. It's known as an EEG. A healthcare professional applies sensors to your scalp. These sensors capture brain wave patterns which are reviewed and reported on to assist in diagnosing various conditions.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Urology
4440 W 95TH ST
OAK LAWN, IL 60453
Internal Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Psychologist (Clinical)
4440 W 95TH ST
OAK LAWN, IL 60453
Occupational Therapist (Physical Rehabilitation)
4440 W 95TH ST
OAK LAWN, IL 60453
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Occupational Therapist
4440 W 95TH ST
OAK LAWN, IL 60453
Emergency Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453

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 Jisoon Kim's NPI number?

The NPI number for Jisoon Kim is 1598024937. It was assigned to this individual provider in the NPPES registry on May 4, 2012.

Where is Jisoon Kim located?

Jisoon Kim practices at 4440 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 684-5673.

What is Jisoon Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jisoon Kim enrolled in Medicare?

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

Is Jisoon Kim affiliated with any hospitals?

According to CMS data, Jisoon Kim is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Jisoon Kim was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.