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DR. JAEKEUN KIM MD, PHD, FACS
NPI 1942715180
Transplant Surgery in Cleveland, OH

Active since December 11, 2017PECOS EnrolledAccepts Medicare Assignment
9500 EUCLID AVE, CLEVELAND, OH 44195(216) 444-0261 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 29, 2022, Oct 16, 2020, Dec 11, 2017 (3 updates tracked since 2017).

About Dr. Jaekeun Kim Md, Phd, Facs NPPES

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

DR. JAEKEUN KIM MD, PHD, FACS (NPI 1942715180) is an individual transplant surgery provider in Cleveland, Ohio, licensed in Ohio (35.145723) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1942715180
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameDR. JAEKEUN KIMCredential: MD, PHD, FACS
Location Address9500 EUCLID AVECleveland, OH 44195-0002
Mailing Address101 Monmouth St Apt 414Brookline, MA 02446-5612 · (617) 935-3261
Phone(216) 444-0261
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateDecember 11, 2017
Last NPPES UpdateSeptember 29, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
✔ NPI 1942715180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
Licenses✔ Licensed in OH · 35.145723✔ Licensed in MA · 283842
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 273758 (MA)
9500 EUCLID AVE, Cleveland, OH 44195
Open in Google Maps ↗

Other Names 1

Other Name (5)Dr. Jae Keun Kim Md, Phd, Facs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Corporation of Ohio.Insurance ›

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

Dr. Jaekeun Kim Md, Phd, Facs 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 ID648690859
PECOS Enrollment IDI20230601002671
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 4

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.

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.
30 services21 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.
17 services17 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.
14 services11 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360364
Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 2

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

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers11 claims11 services$18.96 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
7 suppliers18 claims18 services$12.69 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 20

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

MS. MARY COLLEEN RATH R.D., L.D., CNSC
Dietitian, Registered
9500 EUCLID AVE, M17
CLEVELAND, OH 44195
Cuyahoga County (216) 444-6986
DR. CHRISTOPHER F TENGGARDJAJA M.D.
Urology (Urogynecology and Reconstructive Pelvic Surgery)
9500 EUCLID AVE, Q10-1
CLEVELAND, OH 44195
Cuyahoga County (216) 444-5600
DR. MASATO FUJIKI M.D., PH.D.
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (216) 444-8007
KRISTIN R JOHNSON CNP
Nurse Practitioner
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (800) 223-2273
MONICA LYNN SHEIN CRNA
Nurse Anesthetist, Certified Registered
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (800) 223-2273
MRS. TONYA RENEE GOINGS ACNP-BC
Nurse Practitioner (Acute Care)
9500 EUCLID AVE, SUITE RC25
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
MS. DANA ANNE RUBIS CNP
Nurse Practitioner (Critical Care Medicine)
9500 EUCLID AVE, G58
CLEVELAND, OH 44195
Cuyahoga County (216) 444-5086
DR. RACHAEL C SULLIVAN M.D.
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (440) 449-1101

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 Jaekeun Kim's NPI number?

The NPI number for Jaekeun Kim is 1942715180. It was assigned to this individual provider in the NPPES registry on December 11, 2017. The provider is also known as Dr. Jae Keun Kim MD, Phd, Facs.

Where is Jaekeun Kim located?

Jaekeun Kim practices at 9500 Euclid Ave, Cleveland, OH 44195. The listed phone number is (216) 444-0261.

What is Jaekeun Kim's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Jaekeun Kim enrolled in Medicare?

Yes. Jaekeun Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jaekeun Kim accept?

Health plans from Oscar Insurance Corporation of Ohio list Jaekeun Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jaekeun Kim affiliated with any hospitals?

According to CMS data, Jaekeun Kim is affiliated with Cleveland Clinic and Cleveland Clinic Avon Hospital.

When was this NPI record last updated?

The NPPES record for Jaekeun Kim was last updated on September 29, 2022. 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.