EUI TAE KIM DPM
NPI 1700405651
Podiatrist in Chicago, IL
About Eui Tae Kim Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EUI TAE KIM DPM (NPI 1700405651) is an individual podiatrist in Chicago, Illinois, licensed in Illinois (016006022) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Eui Tae Kim Dpm 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.
Medicare Billing Reassignment
Medicare enrollment records show Eui Tae Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60640
- Reassigned Medicare billing, Illinois enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 23
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Eui Tae Kim's NPI number?
The NPI number for Eui Tae Kim is 1700405651. It was assigned to this individual provider in the NPPES registry on April 10, 2020.
Where is Eui Tae Kim located?
Eui Tae Kim practices at 5310 N Sheridan Rd Ste 1, Chicago, IL 60640. The listed phone number is (773) 205-0106.
What is Eui Tae Kim's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Eui Tae Kim enrolled in Medicare?
Yes. Eui Tae 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.
Which organization bills Medicare for Eui Tae Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eui Tae Kim reassigns Medicare benefits to Illinois Mobile Foot Care LLC (Chicago, IL). 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 Eui Tae Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eui Tae Kim accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Eui Tae 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 Eui Tae Kim was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.