Individual provider Active NPI

James Hyunil Kim, M.D.

  • Anesthesiology Physician
  • McHenry, IL
National Provider Identifier
1497839310
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Practice address
4309 W Medical Center Dr
Suite A201
McHenry, IL 60050-8419
Phone
(815) 385-0084
Fax
(815) 385-8968
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X IL Primary

Addresses

Primary practice location

4309 W Medical Center Dr
Suite A201
McHenry, IL 60050-8419

Mailing address

4309 W Medical Center Dr
Suite A201
McHenry, IL 60050-8419
Phone (815) 385-0084

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
I20110830000658 IL Practitioner - Anesthesiology 5799961587 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
George N Atia MD SCGroup PAC ID 2961506670, 12 clinicians
Mobile Anesthesiologists Chicago LLCGroup PAC ID 9436119542, 47 clinicians

Practice addresses (Care Compare)

200 Fox Glen CT
Barrington, IL 60010-1809
Phone (847) 382-7165

9550 W Higgins Rd
Suite 1100
Rosemont, IL 60018-4962
Phone (773) 355-5300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-051678ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George N Atia, M.D., S.C. CurrentSince May 15, 2023 Accepting new patients
Huntley Anesthesia Associates LLC Anesthesiology CurrentSince Jul 15, 2016 Accepting new patients
Oak Brook Anesthesiologists, LTD. Anesthesiology CurrentSince Jun 24, 2023 Accepting new patients
Mobile Anesthesiologists Chicago LLC Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
West Central Anesthesiology Group LTD Anesthesiology Past Accepting new patients

Locations

1580 W Lake St
Ste 100
Addison, IL 60101
Phone (630) 285-7000

200 Fox Gln
Barrington, IL 60010
Phone (847) 382-7165

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

40 S Clay St
Hinsdale, IL 60521
Phone (630) 323-4202

10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150

22285 N Pepper Rd
Ste 307
Lake Barrington, IL 60010
Phone (847) 382-7165

22285 N Pepper Rd
Ste 409
Lake Barrington, IL 60010
Phone (847) 382-7165

1243 Rickert Dr
Naperville, IL 60540
Phone (630) 303-5650

2425 W 22nd St
Ste 101
Oak Brook, IL 60523
Phone (630) 312-5000

9550 W Higgins Rd
Ste 1100
Rosemont, IL 60018
Phone (773) 756-5760

8930 Gross Point Rd
Ste 700
Skokie, IL 60077
Phone (847) 966-8930

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497839310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR",
            "address_2": "SUITE A201",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508419",
            "telephone_number": "815-385-0084",
            "fax_number": "815-385-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR",
            "address_2": "SUITE A201",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508419",
            "telephone_number": "815-385-0084",
            "fax_number": "815-385-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAMES",
        "middle_name": "HYUNIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.