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DR. JACQUELINE ILJI KIM MD
NPI 1871056739
Surgery in Saint Louis, MO

Active since April 08, 2019PECOS Enrolled
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG TRANSPLANT, SAINT LOUIS, MO 63110(314) 747-9889(314) 361-4197 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 11, 2026, Jul 8, 2026, Apr 8, 2019 (3 updates tracked since 2019).

About Dr. Jacqueline Ilji Kim Md NPPES

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

DR. JACQUELINE ILJI KIM MD (NPI 1871056739) is an individual surgery provider in Saint Louis, Missouri, licensed in Missouri (2026024431) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2019).

NPPES Registry Identity

NPI1871056739
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. JACQUELINE ILJI KIMCredential: MD
Location Address1 BARNES JEWISH HOSPITAL PLZ, DIV SURG TRANSPLANTSaint Louis, MO 63110-1003
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 747-9889 · Fax (314) 361-4197
Phone(314) 747-9889
Fax(314) 361-4197
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2019
Enumeration DateApril 8, 2019
Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1871056739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MO · 2026024431
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1 BARNES JEWISH HOSPITAL PLZ, Saint Louis, MO 63110
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Other Identifiers 1

Medicaid200175681MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacqueline Ilji Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416299623
PECOS Enrollment IDI20260615000363
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 Reassignment

Medicare enrollment records show Jacqueline Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Washington University
6.4 mi
Multi-Specialty
660 S EUCLID AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 172 clinicians in this Medicare group
NPI 1134169568 (314) 362-4964

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

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.

DR. MARGARET LEIGHTON MCNAIRY MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
MS. CHERYL ANNE WOOLSEY PA
Physician Assistant
1 BARNES JEWISH HOSPITAL PLZ, DIV IM MEDICAL ONCOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 747-1171
ANNA RABINOV ANNA RABINOV
Obstetrics & Gynecology
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 747-3000
MRS. MICHELLE MARIE BLOOM ACNP
Nurse Practitioner (Acute Care)
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980
DR. FARIS ADAM BAKEER MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. REHAN RAIS MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. RANDY OLIVIER LAINE MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. BRADLEY SETH KUSHNER MD
Surgery
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG VASCULAR
SAINT LOUIS, MO 63110
St. Louis City (314) 273-7373

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 Jacqueline Kim's NPI number?

The NPI number for Jacqueline Kim is 1871056739. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Jacqueline Kim located?

Jacqueline Kim practices at 1 Barnes Jewish Hospital Plz Div Surg Transplant, Saint Louis, MO 63110. The listed phone number is (314) 747-9889.

What is Jacqueline Kim's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jacqueline Kim enrolled in Medicare?

Yes. Jacqueline Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Kim reassigns Medicare benefits to Washington University (Saint Louis, MO). The 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 Jacqueline Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Kim was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.