Individual provider Active NPI

James H Kim, MD

  • Obstetrics & Gynecology Physician
  • Carol Stream, IL
National Provider Identifier
1275520132
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036105347 Issued in IL
Practice address
630 E North Ave
Dept of OB GYN
Carol Stream, IL 60188
Phone
(630) 458-5300
NPI assigned
Oct 5, 2005
Last updated
Mar 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036105347 IL Primary

Addresses

Primary practice location

630 E North Ave
Dept of OB GYN
Carol Stream, IL 60188

Mailing address

630 E North Ave
Dept of OB GYN
Carol Stream, IL 60188

Other practice location 1

303 E Army Trail Rd
410A
Bloomingdale, IL 60108-2169
Phone (630) 893-8161

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address james.kim.1@380.direct.athenahealth.com

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
I20040624000204 IL Practitioner - Obstetrics/Gynecology 7911982772 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Toledo College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Community Health NetworkGroup PAC ID 9537076112, shared by 36 NPIs, 182 clinicians
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

245 S Gary Ave LL
Martin T Russo
Bloomingdale, IL 60108-2228
Phone (630) 893-5230

396 Remington Blvd
Bolingbrook, IL 60440-4311

396 Remington Blvd
Suite 380
Bolingbrook, IL 60440-4302
Phone (224) 273-4000

500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 856-3075

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036105347ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc CurrentSince Jan 1, 2014 Accepting new patients
Adventist Health Partners, Inc CurrentSince Jan 1, 2014 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Mount Sinai Community Foundation Dba Sinai Medical Group Obstetrics & Gynecology CurrentSince Aug 1, 2014 Accepting new patients
Obhg Illinois SC Obstetrics & Gynecology CurrentSince Jul 1, 2024 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Mount Sinai Community Foundation CurrentSince Aug 1, 2014 Accepting new patients
Southwest Aesthetics and Body Sculpture, LLC PastSince Mar 1, 2023 Accepting new patients
Adventist Health Partners, Inc Past Accepting new patients

Locations

303 E Army Trail Rd
Ste 410A
Bloomingdale, IL 60108
Phone (630) 893-8161

396 Remington Blvd
Ste 131
Bolingbrook, IL 60440
Phone (630) 312-7500

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

630 E North Ave
Carol Stream, IL 60188
Phone (630) 458-5300

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

2701 W 68th St
Fl 3
Chicago, IL 60629
Phone (773) 565-2550

701 Winthrop Ave
Glendale Hts, IL 60139
Phone (630) 312-2000

911 N Elm St
Ste 123
Hinsdale, IL 60521
Phone (630) 325-5709

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

1012 95th St
Ste 4
Naperville, IL 60564
Phone (630) 548-1100

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 603-5203

Interoperability endpoints

  • Direct secure messaging: james.kim.1@380.direct.athenahealth.com
  • Direct secure messaging: jkim1239625@adventhealth.direct-ci.com
  • Direct secure messaging: jkim12431@direct.achn.net

Organizations & group practices 9

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

Hospital & facility affiliations 3

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1275520132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E NORTH AVE",
            "address_2": "DEPT OF OB GYN",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "60188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E NORTH AVE",
            "address_2": "DEPT OF OB GYN",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "60188",
            "telephone_number": "630-458-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 E Army Trail Rd",
            "address_2": "410A",
            "address_purpose": "LOCATION",
            "city": "Bloomingdale",
            "state": "IL",
            "postal_code": "601082169",
            "country_code": "US",
            "telephone_number": "630-893-8161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAMES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036105347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.kim.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "630 E North Ave",
            "address_2": "Dept of Ob Gyn",
            "city": "Carol Stream",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

Verify at the official NPI Registry.