DR. ELLEN E KIM MD
NPI 1891709440
Pediatrics - Pediatric Endocrinology in Chicago, IL

Q: What is Ellen Kim's NPI number?

The NPI number for Ellen Kim is 1891709440. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Ellen Kim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Kim was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 28, 2006PECOS Enrolled

225 E CHICAGO AVE # 54, CHICAGO, IL 60611(312) 227-6091 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 24, 2021, Oct 31, 2017 (2 updates tracked since 2017).

On this page

About Dr. Ellen E Kim Md NPPES

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

DR. ELLEN E KIM MD (NPI 1891709440) is an individual pediatric endocrinology provider in Chicago, Illinois, licensed in Illinois (036109301) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891709440

Entity TypeIndividualFemale

Primary Taxonomy2080P0205X

Provider Legal NameDR. ELLEN E KIMCredential: MD

Location Address225 E CHICAGO AVE # 54Chicago, IL 60611-2991

Mailing Address1 Childrens Pl, Nwt 1230 Cb 8116Saint Louis, MO 63110-1002 · (314) 454-6051 · Fax (314) 454-6225

Phone(312) 227-6091

Sole ProprietorNo

Enumeration DateJuly 28, 2006

Last NPPES UpdateAugust 24, 20212 updates tracked since enumeration

NPPES CertifiedAugust 24, 2021

✔ NPI 1891709440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

Licenses✔ Licensed in IL · 036109301✔ Licensed in MO · 2017013312

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Also ListedPediatricsTaxonomy 208000000X · License 2017013312 (MO)

225 E CHICAGO AVE # 54, Chicago, IL 60611

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 60611 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

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 6

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

DR. REEMA LYNN HABIBY M.D.

Pediatrics (Pediatric Endocrinology)