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DUSTIN KIM
NPI 1609512425
Surgery in Chicago, IL

Active since May 05, 2022PECOS Enrolled
600 S PAULINA ST STE 403, CHICAGO, IL 60612(312) 942-7100 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dustin Kim NPPES

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

DUSTIN KIM (NPI 1609512425) is an individual surgery provider in Chicago, Illinois, licensed in Illinois (125086325) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609512425
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDUSTIN KIM
Location Address600 S PAULINA ST STE 403Chicago, IL 60612-3806
Mailing Address600 S Paulina St Ste 403Chicago, IL 60612-3806
Phone(312) 942-7100
Sole ProprietorYes
Enumeration DateMay 5, 2022
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1609512425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 125086325
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
600 S PAULINA ST STE 403, Chicago, IL 60612
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dustin Kim 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 60612 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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.

ROHAN PISHARODY MD
Psychiatry & Neurology (Neurology)
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-5495
SAMUEL JOHNSON DO
Anesthesiology
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-3134
KAYLA HALL MD
Emergency Medicine
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-5495
RICODEM NAUDEL DESIR MD
Student in an Organized Health Care Education/Training Program
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-7100
JANE EDMUNDS
Internal Medicine
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-7100
ALEXANDER PAUL SUN MD
Surgery
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-7100
IAN KOLATA
Anesthesiology
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-7100
ELIZABETH EVANS M.D.
Internal Medicine (Cardiovascular Disease)
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-5000

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 Dustin Kim's NPI number?

The NPI number for Dustin Kim is 1609512425. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Where is Dustin Kim located?

Dustin Kim practices at 600 S Paulina St Ste 403, Chicago, IL 60612. The listed phone number is (312) 942-7100.

What is Dustin Kim's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dustin Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dustin Kim was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.