1. Home
  2. Directory
  3. Michigan
  4. Troy
  5. Family Medicine
  6. NPI Profile

CHANGHEE KIM MD PHD PLC
NPI 1790963171
Family Medicine in Troy, MI

Active since February 07, 2008
38815 DEQUINDRE RD, SUITE 103, TROY, MI 48083(248) 740-7771 Get Directions Write a Review

NPPES record last updated: February 28, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Changhee Kim Md Phd Plc NPPES

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

CHANGHEE KIM MD PHD PLC (NPI 1790963171) is a healthcare organization registered as a family medicine in Troy, Michigan and active in the NPI registry since February 2008. The organization lists Changhee Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1790963171
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHANGHEE KIM MD PHD PLC
Location Address38815 DEQUINDRE RD, SUITE 103Troy, MI 48083-6810
Mailing Address38815 Dequindre Rd, Suite 103Troy, MI 48083-6810 · (248) 740-7771
Phone(248) 740-7771
Organization SubpartNo
Authorized OfficialChanghee KimOwner · (248) 740-7771
Enumeration DateFebruary 7, 2008
Last NPPES UpdateFebruary 28, 2008
✔ NPI 1790963171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301059643
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
38815 DEQUINDRE RD, Troy, MI 48083
Open in Google Maps ↗

Other Identifiers 3

Medicare PINON12290MI
Medicare UPING23160MI
Medicaid4562401MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Changhee Kim Md Phd Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Changhee Kim MD Phd Plc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Changhee Kim, MD
Family Practice
NPI 1215918479
38815 DEQUINDRE RD STE 103
Troy, MI 48083
(248) 740-7771
✔ PECOS✔ Accepts MedicareSame address

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

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 Changhee Kim MD Phd Plc's NPI number?

The NPI number for Changhee Kim MD Phd Plc is 1790963171. It was assigned to this organization in the NPPES registry on February 7, 2008.

Where is Changhee Kim MD Phd Plc located?

Changhee Kim MD Phd Plc is located at 38815 Dequindre Rd Suite 103, Troy, MI 48083. The listed phone number is (248) 740-7771.

What is Changhee Kim MD Phd Plc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Changhee Kim MD Phd Plc enrolled in Medicare?

Yes. Changhee Kim MD Phd Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Changhee Kim MD Phd Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Changhee Kim MD Phd Plc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Changhee Kim MD Phd Plc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Changhee Kim MD Phd Plc 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 Changhee Kim MD Phd Plc was last updated on February 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.