DR. CATHERINE AGNES KIM M.D.
NPI 1629396965
Internal Medicine in Grand Rapids, MI

Active since May 11, 2010PECOS EnrolledAccepts Medicare Assignment
4069 LAKE DR SE STE 315, GRAND RAPIDS, MI 49546(616) 267-7700 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2024, Dec 3, 2021, Sep 7, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Catherine Agnes Kim M.d. NPPES

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

DR. CATHERINE AGNES KIM M.D. (NPI 1629396965) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301504589) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1629396965
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CATHERINE AGNES KIMCredential: M.D.
Location Address4069 LAKE DR SE STE 315Grand Rapids, MI 49546-8816
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 11, 2010
Last NPPES UpdateMay 6, 20244 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
NPI 1629396965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301504589
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4069 LAKE DR SE STE 315, Grand Rapids, MI 49546

Accepted Insurance

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

Dr. Catherine Agnes 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 ID5799912523
PECOS Enrollment IDI20210610001279
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services56 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
44 services44 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.
43 services41 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
16 services16 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$119.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Internal Medicine (Geriatric Medicine)
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Nurse Practitioner
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Internal Medicine
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546

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 Catherine Kim's NPI number?

The NPI number for Catherine Kim is 1629396965. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Where is Catherine Kim located?

Catherine Kim practices at 4069 Lake Dr SE Ste 315, Grand Rapids, MI 49546. The listed phone number is (616) 267-7700.

What is Catherine Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Catherine Kim enrolled in Medicare?

Yes. Catherine 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.

What insurance does Catherine Kim accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Catherine 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 Catherine Kim affiliated with any hospitals?

According to CMS data, Catherine Kim is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Catherine Kim was last updated on May 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.