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DR. TAE KIM MD
NPI 1780047076
Colon & Rectal Surgery in Highland Park, IL

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
74.98/100
CMS Quality Rating
757 PARK AVE W STE 2850, HIGHLAND PARK, IL 60035(847) 570-1700(224) 251-5470 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2026, Jan 9, 2025, Feb 20, 2020 (3 updates tracked since 2020).

About Dr. Tae Kim Md NPPES

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

DR. TAE KIM MD (NPI 1780047076) is an individual colon & rectal surgery provider in Highland Park, Illinois, licensed in Illinois (036157530) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Rush Medical College Of Rush University (2016).

NPPES Registry Identity

NPI1780047076
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. TAE KIMCredential: MD
Location Address757 PARK AVE W STE 2850Highland Park, IL 60035-2558
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 570-2040 · Fax (847) 570-5315
Phone(847) 570-1700
Fax(224) 251-5470
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2016
Enumeration DateApril 4, 2016
Last NPPES UpdateMarch 24, 20263 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1780047076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in IL · 036157530
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 036157530 (IL)
757 PARK AVE W STE 2850, Highland Park, IL 60035
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Dr. Tae Kim Md 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 ID3476847450
PECOS Enrollment IDI20230112002142
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 Reassignments

2

Medicare enrollment records show Tae Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endeavor Health Medical Group
10 mi
Anesthesiology
2650 RIDGE AVE, ANESTHESIOLOGY ROOM 3905
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1265695944 (847) 570-2760
Swedishamerican Hospital
49 mi
Psychiatry
920 W PRAIRIE DR, UNIT F
Sycamore, IL 60178
  • Reassigned Medicare billing, Illinois enrollment
  • 474 clinicians in this Medicare group
NPI 1528234242 (815) 889-0339

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 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services19 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
24 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60035 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.92
Promoting Interoperability78
Improvement Activities40
Cost55.01

Other Providers at the Same Location NPPES 11

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

MONIKA A. KREZALEK M.D.
Colon & Rectal Surgery
757 PARK AVE W STE 2850
HIGHLAND PARK, IL 60035
Lake County (847) 570-1700
DR. OMAR KHAN MD
Internal Medicine (Gastroenterology)
757 PARK AVE W STE 2850
HIGHLAND PARK, IL 60035
Lake County (847) 657-1900
ROSHNI JAIN MD
Internal Medicine (Gastroenterology)
757 PARK AVE W STE 2850
HIGHLAND PARK, IL 60035
Lake County (847) 657-1900
GLORIA A SA APN-CNP
Nurse Practitioner
757 PARK AVE W STE 2850
HIGHLAND PARK, IL 60035
Lake County (847) 657-1900
DR. TRICIA ANGELINE MOO-YOUNG M.D.
Surgery (Surgical Oncology)
757 PARK AVE W STE 2850
HIGHLAND PARK, IL 60035
Lake County (847) 570-1700
MICHELLE CARLY GARRETT APN-CNP
Nurse Practitioner
757 PARK AVE W STE 2850
HIGHLAND PARK, IL 60035
Lake County (847) 657-1900
DR. HERBERT MASON HEDBERG M.D.
Surgery
757 PARK AVE W STE 2850
HIGHLAND PARK, IL 60035
Lake County (847) 570-1700
LESLEY RHEE MD
Internal Medicine (Gastroenterology)
757 PARK AVE W STE 2850
HIGHLAND PARK, IL 60035
Lake County (847) 765-7190

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 Tae Kim's NPI number?

The NPI number for Tae Kim is 1780047076. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Tae Kim located?

Tae Kim practices at 757 Park Ave W Ste 2850, Highland Park, IL 60035. The listed phone number is (847) 570-1700.

What is Tae Kim's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Tae Kim enrolled in Medicare?

Yes. 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 organizations bill Medicare for Tae Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tae Kim reassigns Medicare benefits to 2 organizations: Endeavor Health Medical Group (Evanston, IL) and Swedishamerican Hospital (Sycamore, IL). Each 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 Tae Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tae Kim accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list 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.

Is Tae Kim affiliated with any hospitals?

According to CMS data, Tae Kim is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Tae Kim was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.