JAE H. KIM DO – NPI #1164981965
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

JAE KIM is a physician located in ROYAL OAK, MI. NPPES has assigned the NPI number 1164981965 to JAE KIM on March 19, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 5 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Oct 30, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAE KIM below.

NPI Profile for
JAE H. KIM

NPI Number
1164981965
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAE H. KIM
Credentials
DO
Primary location
3535 W 13 MILE RD STE 247
ROYAL OAK, MI 48073-6770
Phone: (248) 551-4149 Fax: (248) 551-4150
5 Other location(s):
2624 11 Mile Rd
Berkley, MI 48072-3050
Phone: (248) 399-0764
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone: (401) 737-7010 Ext: 35640
Fax: (401) 736-1975
1660 S Columbian Way
Seattle, WA 98108-1532
Phone: (206) 762-1010
1959 NE Pacific St
Seattle, WA 98195-2759
Phone: (206) 598-3300
325 9th Ave
Seattle, WA 98104-2420
Phone: (206) 744-3000
Mailing address
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone: (248) 551-4149 Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 30, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)
WA OL61280717
390200000X
- Student in an Organized Health Care Education/Training Program
207R00000X
- Internal Medicine
RI LP04718

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE - Graduated 2019
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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