Individual provider Active NPI

Jae H Kim, MD

  • Urology Physician
  • Elgin, IL
National Provider Identifier
1225055866
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036 096031 Issued in IL
Practice address
745 Fletcher Dr Ste 301
Elgin, IL 60123-4750
Phone
(847) 741-0398
Fax
(847) 741-0549
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036 096031 IL Primary

Addresses

Primary practice location

745 Fletcher Dr Ste 301
Elgin, IL 60123-4750

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

10400 Southwest Hwy
Chicago Ridge, IL 60415-1367
Phone (708) 888-8287

Other identifiers 1

IdentifierTypeStateIssuer
036096031MedicaidIL

Electronic endpoints 5

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network
Direct Messaging Address jkim262034@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address jaekim@uropart.allscriptsdirect.net Direct
Direct Messaging Address rkim318231@direct.myadvocateaurora.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20050503000828 IL Practitioner - Urology 2163461450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uropartners LLCGroup PAC ID 9436182946, 133 clinicians
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, 3,081 clinicians

Practice addresses (Care Compare)

10400 Southwest Hwy
Chicago Ridge, IL 60415-1367
Phone (708) 425-0112

1425 N Randall Rd
Elgin, IL 60123-2300
Phone (847) 742-9800

2225 Enterprise Dr
Suite 2511
Westchester, IL 60154-5805
Phone (708) 486-0076

Hospital & facility affiliations

  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036 096031ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Shockwave Services, LTD. Urology CurrentSince Jul 1, 1999 Accepting new patients
United Shockwave Services, LTD. CurrentSince Jul 1, 1999 Accepting new patients
Uropartners LLC Urology CurrentSince Nov 1, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2026 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2026 Accepting new patients
Uropartners, LLC Urology CurrentSince Nov 1, 2023 Accepting new patients
Uropartners LLC Urology Current Accepting new patients
Physician Diagnostic and Pathology PastSince Mar 1, 2013 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

10400 Southwest Hwy
Chicago Ridge, IL 60415
Phone (708) 423-8706

745 Fletcher Dr
Ste 301
Elgin, IL 60123
Phone (847) 741-0398

745 Fletcher Dr
Elgin, IL 60123
Phone (847) 695-6600

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

4400 W 95th St
Ste 109
Oak Lawn, IL 60453
Phone (708) 423-8708

16632 107th St
Orland Park, IL 60467
Phone (708) 349-6350

15234 S Harlem Ave
Orland Park, IL 60462
Phone (708) 532-6500

1875 W Dempster St
Ste G04
Park Ridge, IL 60068
Phone (630) 684-9361

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222

2225 Enterprise Dr
Ste 2511
Westchester, IL 60154
Phone (708) 486-0076

2245 Enterprise Dr
Ste 4506
Westchester, IL 60154

815 Pasquinelli Dr
Westmont, IL 60559
Phone (630) 366-7854

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Interoperability endpoints

  • Direct secure messaging: rkim318231@direct.myadvocateaurora.org

Organizations & group practices 8

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1225055866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 FLETCHER DR STE 301",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234750",
            "telephone_number": "847-741-0398",
            "fax_number": "847-741-0549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10400 Southwest Hwy",
            "address_purpose": "LOCATION",
            "city": "Chicago Ridge",
            "state": "IL",
            "postal_code": "604151367",
            "country_code": "US",
            "telephone_number": "708-888-8287",
            "fax_number": "708-423-8659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAE",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036 096031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036096031",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkim262034@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10400 Southwest Hwy",
            "city": "Chicago Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604151367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "10400 Southwest Hwy",
            "city": "Chicago Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604151367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaekim@uropart.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10400 Southwest Hwy",
            "city": "Chicago Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604151367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkim318231@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "745 Fletcher Dr Ste 301",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601234750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.