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JI-YEON KIM M.D.
NPI 1730599879
Pediatrics - Pediatric Critical Care Medicine in Detroit, MI

Active since April 29, 2014PECOS EnrolledAccepts Medicare Assignment
3901 BEAUBIEN ST, DETROIT, MI 48201(313) 745-5437 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2021, Dec 31, 2015 (2 updates tracked since 2015).

About Ji-yeon Kim M.d. NPPES

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

JI-YEON KIM M.D. (NPI 1730599879) is an individual pediatric critical care medicine provider in Detroit, Michigan, licensed in Michigan (4301106197) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1730599879
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameJI-YEON KIMCredential: M.D.
Location Address3901 BEAUBIEN STDetroit, MI 48201-2196
Mailing Address3901 Beaubien StDetroit, MI 48201-2119 · (248) 345-8287
Phone(313) 745-5437
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 29, 2014
Last NPPES UpdateJune 2, 20212 updates tracked since enumeration
NPPES CertifiedJune 2, 2021
✔ NPI 1730599879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in MI · 4301106197
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 4301106197 (MI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3901 BEAUBIEN ST, Detroit, MI 48201
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Secondary Practice Location 1

Location 13901 Beaubien StDetroit, MI 48201-2119 · Phone (313) 745-1892

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ji-yeon Kim M.d. 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.

PECOS PAC ID6800198847
PECOS Enrollment IDI20200325003425
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.

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.

KAROLINA MAKSIMOWSKI
Pediatrics (Pediatric Emergency Medicine)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5260
BROOKE ALISON BENOWITZ
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-4883
NUTRENA TATE CNP
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5437
DR. RUPA THACKER M.D
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5533
SYBRENA EVANS
Physician Assistant (Surgical)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 833-4490
JOSHUA KIM DO
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5870
HANNAH L MORELLO MSN, RN
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (543) 731-3745
ERIC MARC ESHMAN PHARM.D.
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 966-0414

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 Ji-yeon Kim's NPI number?

The NPI number for Ji-yeon Kim is 1730599879. It was assigned to this individual provider in the NPPES registry on April 29, 2014.

Where is Ji-yeon Kim located?

Ji-yeon Kim practices at 3901 Beaubien St, Detroit, MI 48201. The listed phone number is (313) 745-5437.

What is Ji-yeon Kim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Ji-yeon Kim enrolled in Medicare?

Yes. Ji-yeon 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.

What insurance does Ji-yeon Kim accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Ji-yeon 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 Ji-yeon Kim was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.