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JAE HONG KIM M.D.
NPI 1639242977
Pediatrics - Neonatal-Perinatal Medicine in Cincinnati, OH

Active since November 16, 2006PECOS Enrolled
3333 BURNET AVENUE, MLC 7009, CINCINNATI, OH 45229(513) 636-4830(513) 636-7868 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jae Hong Kim M.d. NPPES

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

JAE HONG KIM M.D. (NPI 1639242977) is an individual neonatal-perinatal medicine provider in Cincinnati, Ohio, licensed in Ohio (35.136969) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1639242977
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameJAE HONG KIMCredential: M.D.
Location Address3333 BURNET AVENUE, MLC 7009Cincinnati, OH 45229-3026
Mailing Address3333 Burnet Avenue, Mlc 7009Cincinnati, OH 45229-3026 · (513) 636-4830 · Fax (513) 636-7868
Phone(513) 636-4830
Fax(513) 636-7868
Sole ProprietorNo
Enumeration DateNovember 16, 2006
Last NPPES UpdateJune 1, 2021
NPPES CertifiedJune 1, 2021
✔ NPI 1639242977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in OH · 35.136969✔ Licensed in CA · C52431
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License C52431 (CA)
Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X · License C52431 (CA)
3333 BURNET AVENUE, Cincinnati, OH 45229
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Secondary Practice Location 1

Location 1200 W Arbor Dr, MPF 1-140San Diego, CA 92103-9001 · Phone (619) 543-3759

Other Identifiers 1

Medicaid00C524310CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jae Hong Kim M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Jae Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Medical Center
Same address
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225

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

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.

ADAM A. VUKOVIC M.D.
Pediatrics (Pediatric Emergency Medicine)
3333 BURNET AVENUE, ML 2008
CINCINNATI, OH 45229
Hamilton County (513) 636-7966
DR. AMIL H. ALLEN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
3333 BURNET AVENUE, ML 7009
CINCINNATI, OH 45229
Hamilton County (513) 636-4830
KRISTIN A. SCHNEIDER M.D.
Pediatrics (Pediatric Cardiology)
3333 BURNET AVENUE, MLC 2003
CINCINNATI, OH 45229
Hamilton County (513) 636-4432
TAMIKA AULD APRN-CNP
Nurse Practitioner
3333 BURNET AVENUE, ML 2001
CINCINNATI, OH 45229
Hamilton County (513) 636-4408
KAYE GAFFNEY LISW
Social Worker
3333 BURNET AVENUE, ML 3014
CINCINNATI, OH 45229
Hamilton County (513) 636-4788
MICHAEL W MELLON PHD
Psychologist (Clinical)
3333 BURNET AVENUE, ML 5021
CINCINNATI, OH 45229
Hamilton County (513) 636-4225
JEAN HARRINGTON MD
Anesthesiology (Pediatric Anesthesiology)
3333 BURNET AVENUE, ML 2001
CINCINNATI, OH 45229
Hamilton County (513) 636-4408
DR. ANTHONY JOSEPH SABULSKI M.D.
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVENUE, ML 11027
CINCINNATI, OH 45229
Hamilton County (513) 517-2234

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 Jae Kim's NPI number?

The NPI number for Jae Kim is 1639242977. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Jae Kim located?

Jae Kim practices at 3333 Burnet Avenue Mlc 7009, Cincinnati, OH 45229. The listed phone number is (513) 636-4830.

What is Jae Kim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Jae Kim enrolled in Medicare?

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

Which organization bills Medicare for Jae Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jae Kim reassigns Medicare benefits to Children's Hospital Medical Center (Cincinnati, OH). The 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 Jae Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jae Kim accept?

Health plans from CareSource and Molina Healthcare list Jae 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.

When was this NPI record last updated?

The NPPES record for Jae Kim was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.