DR. JAE H. KIM M.D.
NPI 1861578759
Internal Medicine - Gastroenterology in Mesa, AZ

Q: What is Jae Kim's NPI number?

The NPI number for Jae Kim is 1861578759. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Q: What is Jae Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Jae Kim was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 October 31, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

10238 E HAMPTON AVE STE 205, MESA, AZ 85209(480) 856-8252(470) 268-9921 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 23, 2026, Feb 5, 2026, Dec 4, 2025 and 5 more (8 updates tracked since 2020).

On this page

About Dr. Jae H. Kim M.d. NPPES

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

DR. JAE H. KIM M.D. (NPI 1861578759) is an individual gastroenterology provider in Mesa, Arizona, licensed in Arizona (73759) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Wayne State University School Of Medicine (2003).

NPPES Registry Identity

NPI1861578759

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. JAE H. KIMCredential: M.D.

Location Address10238 E HAMPTON AVE STE 205Mesa, AZ 85209-3318

Mailing AddressPo Box 1684Queen Creek, AZ 85142-1837 · (480) 856-8252 · Fax (470) 268-9921

Phone(480) 856-8252

Fax(470) 268-9921

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2003

Enumeration DateOctober 31, 2006

Last NPPES UpdateJune 24, 20268 updates tracked since enumeration

NPPES CertifiedJune 24, 2026

✔ NPI 1861578759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in AZ · 73759

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

10238 E HAMPTON AVE STE 205, Mesa, AZ 85209

Open in Google Maps ↗

Secondary Practice Locations 8

Location 137200 N Gantzel Rd Ste 100Queen Creek, AZ 85140-7368 · Phone (480) 307-6741

Location 21500 S Mill AveTempe, AZ 85281-6699 · Phone (480) 784-5500

Location 31301 S Crismon RdMesa, AZ 85209-3767 · Phone (480) 358-6100

Location 41125 S Alma School Rd Ste 100Chandler, AZ 85286-2810 · Phone (480) 550-6089

Location 53920 S Rome StGilbert, AZ 85297-7366 · Phone (480) 597-4778 · Fax (480) 597-4782

Location 6145 S 79th St Ste 35Chandler, AZ 85226-1742 · Phone (480) 856-8252 · Fax (470) 268-9921

Location 74545 N Hunt HwyFlorence, AZ 85132-6937 · Phone (520) 868-3333

Location 837000 N Gantzel RdQueen Creek, AZ 85140-7303 · Phone (480) 394-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna Healthcare and more.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. Jae H. 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 ID8729119375

PECOS Enrollment IDI20240617001443

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

Medicare enrollment records show Jae Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Group Gastro, LLC

Same address

Gastroenterology

10238 E HAMPTON AVE STE 205
Mesa, AZ 85209

Reassigned Medicare billing, Arizona enrollment
2 clinicians in this Medicare group

NPI 1609740455 (480) 856-8252

Aga, LLC

1,566 mi

Gastroenterology

550 PEACHTREE ST NE STE 1600
Atlanta, GA 30308

Reassigned Medicare billing, Georgia enrollment
190 clinicians in this Medicare group

NPI 1124064118 (404) 881-1094

Unc Physicians Network, LLC

1,828 mi

Urology

1236 HUFFMAN MILL RD, SUITE 2550
Burlington, NC 27215

Reassigned Medicare billing, North Carolina enrollment
1,337 clinicians in this Medicare group

NPI 1053751586 (336) 584-6300

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 16

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

1,569 services16 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

88 services87 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.

64 services63 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

53 services51 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

50 services49 patients

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.

45 services39 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

41 services41 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 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.

22 services22 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

21 services21 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

20 services18 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.

18 services11 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

13 services13 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

12 services12 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

12 services12 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85209 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185

Other-Enteral and Parenteral · category OB005N

3 suppliers56 claims1,666 services$11.24 avg. paid by Medicare

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197

Other-Enteral and Parenteral · category OB005N

3 suppliers46 claims306 services$279.87 avg. paid by Medicare

Parenteral nutrition supply kit; premix, per day B4220

Other-Enteral and Parenteral · category OB005N

3 suppliers56 claims370 services$8.00 avg. paid by Medicare

Parenteral nutrition administration kit, per day B4224

Other-Enteral and Parenteral · category OB005N

3 suppliers56 claims370 services$25.00 avg. paid by Medicare

Parenteral nutrition infusion pump, portable B9004

Other-Enteral and Parenteral · category OB005N

2 suppliers14 claims14 services$399.57 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

DR. ALPESH PATEL M.D.

Internal Medicine (Gastroenterology)