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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LISA JISUN KIM MD
NPI 1972087773
Anesthesiology in Chicago, IL

Active since September 18, 2018PECOS Enrolled
240 E HURON ST STE 1-200, CHICAGO, IL 60611(312) 503-7975 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2026, Sep 18, 2018 (2 updates tracked since 2018).

About Lisa Jisun Kim Md NPPES

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

LISA JISUN KIM MD (NPI 1972087773) is an individual anesthesiology provider in Chicago, Illinois, licensed in Colorado (DR.0077604) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greenwood Village.

NPPES Registry Identity

NPI1972087773
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameLISA JISUN KIMCredential: MD
Location Address240 E HURON ST STE 1-200Chicago, IL 60611-2909
Mailing Address240 E Huron St Ste 1-200Chicago, IL 60611-2909
Phone(312) 503-7975
Sole ProprietorNo
Enumeration DateSeptember 18, 2018
Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1972087773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CO · DR.0077604
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
240 E HURON ST STE 1-200, Chicago, IL 60611
Open in Google Maps ↗

Secondary Practice Location 1

Location 18000 E Maplewood Ave Ste 120Greenwood Village, CO 80111-4766 · Phone (303) 438-3999 · Fax (720) 439-9500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Jisun 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.

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.

CLAYTON LYONS
Student in an Organized Health Care Education/Training Program
240 E HURON ST STE 1-200
CHICAGO, IL 60611
Cook County (412) 926-8985
BRIAN LEE
Student in an Organized Health Care Education/Training Program
240 E HURON ST STE 1-200
CHICAGO, IL 60611
Cook County (312) 503-7975
KATHERINE FIONA SIMPSON
Student in an Organized Health Care Education/Training Program
240 E HURON ST STE 1-200
CHICAGO, IL 60611
Cook County (312) 503-7975
ANYA DHAR
Student in an Organized Health Care Education/Training Program
240 E HURON ST STE 1-200
CHICAGO, IL 60611
Cook County (312) 503-7975
MR. CADE FREDERICK BENNETT
Student in an Organized Health Care Education/Training Program
240 E HURON ST STE 1-200
CHICAGO, IL 60611
Cook County (312) 503-7975
NIRAJ VINAYAK LAWANDE
Student in an Organized Health Care Education/Training Program
240 E HURON ST STE 1-200
CHICAGO, IL 60611
Cook County (312) 503-7975
JUSTIN WANG
Student in an Organized Health Care Education/Training Program
240 E HURON ST STE 1-200
CHICAGO, IL 60611
Cook County (312) 503-7975
CALVIN THOMAS HAWE
Student in an Organized Health Care Education/Training Program
240 E HURON ST STE 1-200
CHICAGO, IL 60611
Cook County (312) 503-7975

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 Lisa Kim's NPI number?

The NPI number for Lisa Kim is 1972087773. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Lisa Kim located?

Lisa Kim practices at 240 E Huron St Ste 1-200, Chicago, IL 60611. The listed phone number is (312) 503-7975.

What is Lisa Kim's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Lisa Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Kim was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.