DEREK MYUNGIL KIM PA-C
NPI 1811754898
Physician Assistant - Surgical in Arlington Heights, IL

Q: What is Derek Kim's NPI number?

The NPI number for Derek Kim is 1811754898. It was assigned to this individual provider in the NPPES registry on March 5, 2024.

Q: What is Derek Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Derek Kim was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 05, 2024PECOS EnrolledAccepts Medicare Assignment

880 W CENTRAL RD STE 7200, ARLINGTON HEIGHTS, IL 60005(847) 618-4430(847) 618-0786 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 20, 2026, Aug 2, 2024, Mar 5, 2024 (3 updates tracked since 2024).

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About Derek Myungil Kim Pa-c NPPES

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

DEREK MYUNGIL KIM PA-C (NPI 1811754898) is an individual surgical provider in Arlington Heights, Illinois, licensed in Illinois (085010554) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and maintains a secondary practice location in Glenview.

NPPES Registry Identity

NPI1811754898

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameDEREK MYUNGIL KIMCredential: PA-C

Location Address880 W CENTRAL RD STE 7200Arlington Heights, IL 60005-2382

Mailing Address900 Rand Rd Ste 300Des Plaines, IL 60016-2359 · (847) 324-3976 · Fax (847) 929-1154

Phone(847) 618-4430

Fax(847) 618-0786

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 5, 2024

Last NPPES UpdateMarch 20, 20263 updates tracked since enumeration

NPPES CertifiedMarch 20, 2026

✔ NPI 1811754898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in IL · 085010554

Also ListedPhysician AssistantTaxonomy 363A00000X · License 085-010554 (IL)

880 W CENTRAL RD STE 7200, Arlington Heights, IL 60005

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Secondary Practice Location 1

Location 12401 Ravine WayGlenview, IL 60025-7645 · Phone (847) 998-5680 · Fax (847) 998-6365

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

Derek Myungil Kim Pa-c 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 ID1951840867

PECOS Enrollment IDI20240823000098

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.

Areas of Expertise CMS Part B claims 2

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.

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

19 services17 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140252

Location800 W Central RoadArlington Heights, IL 60005 · Cook County

Emergency services Birthing friendly

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.

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