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COURTNEY MARIKO KAHEALANI KIM
NPI 1871241885
Emergency Medicine in Chicago, IL

Active since March 17, 2022PECOS Enrolled
5841 S MARYLAND AVE # 5068, CHICAGO, IL 60637(773) 702-9500(773) 702-3135 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 30, 2023, May 23, 2023, May 2, 2023 (3 updates tracked since 2023).

About Courtney Mariko Kahealani Kim NPPES

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

COURTNEY MARIKO KAHEALANI KIM (NPI 1871241885) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (125.081731) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (2023).

NPPES Registry Identity

NPI1871241885
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameCOURTNEY MARIKO KAHEALANI KIM
Location Address5841 S MARYLAND AVE # 5068Chicago, IL 60637-1443
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(773) 702-9500
Fax(773) 702-3135
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2023
Enumeration DateMarch 17, 2022
Last NPPES UpdateMay 30, 20233 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
✔ NPI 1871241885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 125.081731
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5841 S MARYLAND AVE # 5068, Chicago, IL 60637
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Mariko Kahealani Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931568029
PECOS Enrollment IDI20260708001989
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES 12

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

ORETUNLEWA SOYINKA MD
Emergency Medicine
5841 S MARYLAND AVE # 5068
CHICAGO, IL 60637
Cook County (773) 702-3820
ANNA KAYO GRAGAS MD
Emergency Medicine
5841 S MARYLAND AVE # 5068
CHICAGO, IL 60637
Cook County (773) 702-9500
DR. ERIC YOUNG MD
Emergency Medicine
5841 S MARYLAND AVE # 5068
CHICAGO, IL 60637
Cook County (773) 702-9109
LEAH ANN GOLDBERG MD
Emergency Medicine
5841 S MARYLAND AVE # 5068
CHICAGO, IL 60637
Cook County (773) 702-9109
BRAYLEE NICOLE GRISEL
Emergency Medicine
5841 S MARYLAND AVE # 5068
CHICAGO, IL 60637
Cook County (773) 702-9500
DR. KSENIYA SERGEEVNA MASTEROVA MD, PHD
Emergency Medicine
5841 S MARYLAND AVE # 5068
CHICAGO, IL 60637
Cook County (773) 702-9500
MAXWELL BOKOR
Emergency Medicine
5841 S MARYLAND AVE # 5068
CHICAGO, IL 60637
Cook County (773) 702-9500
DR. ANJALI NICOLE SARVER MD, MPH
Emergency Medicine
5841 S MARYLAND AVE # 5068
CHICAGO, IL 60637
Cook County (773) 702-3820

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 Courtney Kim's NPI number?

The NPI number for Courtney Kim is 1871241885. It was assigned to this individual provider in the NPPES registry on March 17, 2022.

Where is Courtney Kim located?

Courtney Kim practices at 5841 S Maryland Ave # 5068, Chicago, IL 60637. The listed phone number is (773) 702-9500.

What is Courtney Kim's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Courtney Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Courtney Kim was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.