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DAVID DONG JIN KIM
NPI 1649915364
Urology in Chicago, IL

Active since April 28, 2022PECOS Enrolled
5841 S MARYLAND AVE # MC5028, CHICAGO, IL 60637(773) 702-1860 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2022, Apr 28, 2022 (2 updates tracked since 2022).

About David Dong Jin Kim NPPES

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

DAVID DONG JIN KIM (NPI 1649915364) is an individual urology provider in Chicago, Illinois, licensed in Illinois (125.079702) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649915364
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDAVID DONG JIN KIM
Location Address5841 S MARYLAND AVE # MC5028Chicago, IL 60637-1443
Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965 · (773) 702-1150
Phone(773) 702-1860
Sole ProprietorNo
Enumeration DateApril 28, 2022
Last NPPES UpdateMay 6, 20222 updates tracked since enumeration
NPPES CertifiedMay 6, 2022
✔ NPI 1649915364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in IL · 125.079702
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
5841 S MARYLAND AVE # MC5028, Chicago, IL 60637
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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)

David Dong Jin 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 60637 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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 3

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

MEGHAN WANDTKE BARBER MD
Surgery
5841 S MARYLAND AVE # MC5028
CHICAGO, IL 60637
Cook County (773) 834-3524
ALEXANDRA HERNANDEZ PEREZ MD
Urology
5841 S MARYLAND AVE # MC5028
CHICAGO, IL 60637
Cook County (773) 702-1860
DR. JOSHUA DANIEL CABRAL MD
Urology
5841 S MARYLAND AVE # MC5028
CHICAGO, IL 60637
Cook County (773) 702-1860

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 David Kim's NPI number?

The NPI number for David Kim is 1649915364. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is David Kim located?

David Kim practices at 5841 S Maryland Ave # Mc5028, Chicago, IL 60637. The listed phone number is (773) 702-1860.

What is David Kim's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is David Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for David Kim was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.