Jae Doo Kim, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

L9286 Issued in TX

Practice address

6421 Saratoga Blvd.
BLDG. 106
Corpus Christi, TX 78414-3480

Phone

(361) 991-7109

Fax

(361) 991-5213

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

GastroenterologyAlso: Internal Medicine

Education

University of Pittsburgh School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Corpus Christi Gastroenterology, P.L.L.C.Group PAC ID 6507837135, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788

Merit-based Incentive Payment System (MIPS)

Final score

98.55 of 100Reported as individual

Quality

91.84

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DCAFBA
• FHIR API: https://fhir4.healow.com/fhir/r4/DCAFBA/Endpoint/DCAFBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Corpus Christi Gastroenterology PLLC

  • Specialist
  • Corpus Christi, TX
  • NPI 1760490361
  Medicare reassignment Care Compare group NPD
• Hospital Physician Services, LLLP

  • General Acute Care Hospital
  • Westminster, MD
  • NPI 1457302713
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bay Area Healthcare Group, LTD.

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1508810573
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1083685218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 SARATOGA BLVD.",
            "address_2": "BLDG. 106",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143480",
            "telephone_number": "361-991-7109",
            "fax_number": "361-991-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 SARATOGA BLVD.",
            "address_2": "BLDG. 106",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143480",
            "telephone_number": "361-991-7109",
            "fax_number": "361-991-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAE",
        "middle_name": "DOO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L9286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16685840 01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Kilbourn, LPC
• Shelby Killion, R.D.,L.D.
• John Warren Kilpatrick, CRNA
• Alexander Kim, DPT
• Bo Rum Kim, MD
• Kyurim Kim
• Seunghwan Kim, MD
• Brenda Kimak, PTA
• Eva Kimble, RN, CMGT-BC, IBCLC
• Julia Clark Kimbrell

• Specialist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.