Active NPI
Jae-Woo Kim, M.D.
- Internal Medicine Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 56350
- Practice address
- 800 E 28TH St
Mail Route 11326
Minneapolis, MN 55407-3723 - Phone
- (612) 863-5567
- NPI assigned
- Jun 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 56350 | MN | |
| Internal Medicine Physician | 207R00000X | 56350 | MN | Primary |
Addresses
Primary practice location
800 E 28TH St
Mail Route 11326
Minneapolis, MN 55407-3723
Mailing address
800 E 28TH St
Mail Route 11326
Minneapolis, MN 55407-3723
Phone (612) 863-5567
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jkim220592@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- St. Louis College of Physicians and Surgeons, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health System
Practice addresses (Care Compare)
1455 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (651) 635-9173
1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6000
200 State Ave
Faribault, MN 55021-6339
Phone (507) 334-6451
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 863-4000
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 520-4897
800 E 28TH St
Minneapolis, MN 55407-3723
Hospital & facility affiliations
- Abbott Northwestern Hospital
- Maple Grove Hospital
- River Falls Area Hospital
- North Memorial Health Hospital
- Allina Health Faribault Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56350 | MN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Memorial Health Care | Current | Accepting new patients | |
| Fairview Health Services | Hospitalist | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| North Memorial Health Care | Hospitalist | Current | Accepting new patients |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Internal Medicine | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| North Memorial Health Care | Current | Accepting new patients | |
| Maple Grove Hospital Corporation | Past | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
800 E 28th St
#11326
Minneapolis, MN 55407
Phone (612) 863-5567
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000
Interoperability endpoints
- jkim220592@excellian.direct.allina.com
Organizations & group practices 14
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.
-
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Emergency Medicine Physician
- River Falls, WI
- NPI 1578507513
-
- Social Worker
- Minneapolis, MN
- NPI 1114479920
-
- Specialist
- St Paul, MN
- NPI 1447550702
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
-
- Hospitalist Physician
- Robbinsdale, MN
- NPI 1518983634
-
- Clinic/Center
- Blaine, MN
- NPI 1841995552
Hospital & facility affiliations 34
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- General Acute Care Hospital
- Faribault, MN
- NPI 1154741577
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1144516774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E 28TH ST",
"address_2": "MAIL ROUTE 11326",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073723",
"telephone_number": "612-863-5567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E 28TH ST",
"address_2": "MAIL ROUTE 11326",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073723",
"telephone_number": "612-863-5567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JAE-WOO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-22",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MN",
"license": "56350",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "56350",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkim220592@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "800 E 28th St",
"address_2": "Mail Route 11326",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554073723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.