James D Kim, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01083315A Issued in IN

Practice address

7802 W Jefferson Blvd Ste a
Fort Wayne, IN 46804-4138

Phone

(260) 305-2822

Fax

(260) 305-2829

NPI assigned

Apr 16, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Ophthalmology

Education

Georgetown University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indiana Retina Center LLCGroup PAC ID 0749677011, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph Health System, LLC Hospital, Fort Wayne, IN, CCN 150047

Merit-based Incentive Payment System (MIPS)

Final score

98.56 of 100Reported as group

Quality

97.12

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkim@paducaheyes.intellechartdirect.net

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.

• Indiana Retina Center LLC

  • Retina Specialist (Ophthalmology) Physician
  • Fort Wayne, IN
  • NPI 1518609429
  Medicare reassignment Care Compare group NPD Authorized official
• Dallas Medical P.L.L.C.

  • Primary Care Clinic/Center
  • Paducah, KY
  • NPI 1841335049
  NPD

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

• St. Joseph Health System, LLC

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1023060472
  Care Compare affiliation

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1255657151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7802 W JEFFERSON BLVD STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044138",
            "telephone_number": "260-305-2822",
            "fax_number": "260-305-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7802 W JEFFERSON BLVD STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044138",
            "telephone_number": "260-305-2822",
            "fax_number": "260-305-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-16",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "62214-20",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01083315A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300058132",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100053130",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monique Kilgore, RN
• Natalie Killeen
• Meredith Killingsworth
• Lauren Killion, MBA, RDN, LD
• Christopher Kim, M.D.
• John Raphael Kim, MD
• Seung Soo Kim, MD
• Yeseul Kim, M.D
• Aaron Kimball, DC
• Jennifer Kimball, RN

• Ophthalmology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.