1. Home
  2. Directory
  3. Indiana
  4. Michigan City
  5. Surgery
  6. NPI Profile

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

Active since March 27, 2017PECOS Enrolled
8865 W 400 N STE 175, MICHIGAN CITY, IN 46360(219) 877-2225(219) 877-2230 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2026, Aug 5, 2025, Apr 5, 2025 and 1 more (4 updates tracked since 2017).

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
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Franciscan Physician Network
36 mi
Urgent Care
1515 W DRAGOON TRL
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 1,396 clinicians in this Medicare group
NPI 1366879009 (574) 254-6253

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

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.

Which organization bills Medicare for Yonjae Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yonjae Kim reassigns Medicare benefits to Franciscan Physician Network (Mishawaka, IN). 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 Yonjae Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yonjae Kim accept?

Health plans from Anthem Blue Cross and Blue Shield list Yonjae 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 Yonjae Kim was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.