YONJAE JOSHUA KIM M.D. - NPI 1700317146 - Surgery in Michigan City, IN

Q: What is Yonjae Kim's NPI number?

The NPI number for Yonjae Kim is 1700317146. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Q: What is Yonjae Kim's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Yonjae Kim was last updated on July 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Yonjae Joshua Kim M.d. NPPES

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

YONJAE JOSHUA KIM M.D. (NPI 1700317146) is an individual vascular surgery provider in Michigan City, Indiana, licensed in Indiana (01100298A) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Park Ridge.

NPPES Registry Identity

NPI1700317146

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameYONJAE JOSHUA KIMCredential: M.D.

Location Address8865 W 400 N STE 175Michigan City, IN 46360-9010

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(219) 877-2225

Fax(219) 877-2230

Sole ProprietorNo

Enumeration DateMarch 27, 2017

Last NPPES UpdateJuly 14, 20264 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1700317146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in IN · 01100298A

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 036.169189 (IL), 01100298A (IN)

8865 W 400 N STE 175, Michigan City, IN 46360

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Secondary Practice Location 1

Location 11775 Dempster St, Mailbox #48Park Ridge, IL 60068-1188 · Phone (847) 723-2210

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yonjae Joshua 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46360 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

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 supplier12 claims12 services$109.33 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 2

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

MRS. MELISSA ANN GOUGER ACNPC-AG

Nurse Practitioner (Acute Care)

8865 W 400 N STE 175
MICHIGAN CITY, IN 46360

Laporte County (219) 877-2225

PATRICK DAVID ALBERT MD

Surgery (Vascular Surgery)

8865 W 400 N STE 175
MICHIGAN CITY, IN 46360

Laporte County (219) 877-2225

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 Yonjae Kim's NPI number?

The NPI number for Yonjae Kim is 1700317146. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Yonjae Kim located?

Yonjae Kim practices at 8865 W 400 N Ste 175, Michigan City, IN 46360. The listed phone number is (219) 877-2225.

What is Yonjae Kim's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Yonjae Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Yonjae Kim was last updated on July 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.