Jenny Hye Jin Cha-Kim, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036094990 Issued in IL

Practice address

4259 S Berkeley Ave
Chicago, IL 60653-3030

Phone

(773) 268-7600

Fax

(773) 268-7600

NPI assigned

Aug 3, 2006

Last updated

Feb 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenny.cha-kim.1@31131.direct.athenahealth.com

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.

• Near North Health Service Corporation

  dba Winfield Moody Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1821079088
  Medicare reassignment NPD
• Near North Health Service Corporation

  dba Cottage View Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1073594297
  NPD
• Near North Health Service Corporation

  dba Near North Health Family Health Center at Oakwood Shores

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1740166255
  NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1346258563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4259 S BERKELEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533030",
            "telephone_number": "773-268-7600",
            "fax_number": "773-268-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4259 S BERKELEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533030",
            "telephone_number": "773-268-7600",
            "fax_number": "773-268-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHA-KIM",
        "first_name": "JENNY",
        "middle_name": "HYE JIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036094990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Cetlin
• Ruth Ceulemans, MD
• Cftranz Inc
• CG Therapies LLC
• CH Specialty Services Il PLLC
• Andrew R Cha, MD
• Donald Cha, DDS
• Esther Cha
• Rosaline Eunbee Cha, O.D.
• Archit Aravind Chabbi

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.