SE YEON KIM DO
NPI 1710676770
Internal Medicine in Grand Blanc, MI

Active since May 04, 2023PECOS Enrolled
1 GENESYS PKWY, GRAND BLANC, MI 48439(810) 606-5000 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2023, May 4, 2023 (2 updates tracked since 2023).

About Se Yeon Kim Do NPPES

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

SE YEON KIM DO (NPI 1710676770) is an individual internal medicine provider in Grand Blanc, Michigan, licensed in Michigan (5151016200) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710676770
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSE YEON KIMCredential: DO
Location Address1 GENESYS PKWYGrand Blanc, MI 48439-8065
Mailing Address1 Genesys PkwyGrand Blanc, MI 48439-8065 · (810) 606-5000
Sole ProprietorNo
Enumeration DateMay 4, 2023
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
NPI 1710676770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 5151016200
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1 GENESYS PKWY, Grand Blanc, MI 48439

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Se Yeon Kim Do 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 48439 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 20

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

Occupational Therapy Assistant
1 GENESYS PKWY
GRAND BLANC, MI 48439
Emergency Medicine
1 GENESYS PKWY
GRAND BLANC, MI 48439
Radiology (Diagnostic Radiology)
1 GENESYS PKWY
GRAND BLANC, MI 48439
Family Medicine
1 GENESYS PKWY
GRAND BLANC, MI 48439
Anesthesiology
1 GENESYS PKWY
GRAND BLANC, MI 48439
Nurse Anesthetist, Certified Registered
1 GENESYS PKWY
GRAND BLANC, MI 48439
Emergency Medicine (Emergency Medical Services)
1 GENESYS PKWY
GRAND BLANC, MI 48439
Orthopaedic Surgery
1 GENESYS PKWY
GRAND BLANC, MI 48439

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 Se Yeon Kim's NPI number?

The NPI number for Se Yeon Kim is 1710676770. It was assigned to this individual provider in the NPPES registry on May 4, 2023.

Where is Se Yeon Kim located?

Se Yeon Kim practices at 1 Genesys Pkwy, Grand Blanc, MI 48439. The listed phone number is (810) 606-5000.

What is Se Yeon Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Se Yeon Kim enrolled in Medicare?

Yes. Se Yeon Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Se Yeon Kim was last updated on May 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.