Yuri Miura Kim Kern, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036102854 Issued in IL

Practice address

2640 W 183Rd St
Homewood, IL 64030

Phone

(708) 798-6633

NPI assigned

Mar 31, 2006

Last updated

Jan 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Zibute G Zaparackas MD and Paul a Knepper MD LTD

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1063784452
  NPD

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1598726200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 W 183RD ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "60430",
            "telephone_number": "708-798-6633",
            "fax_number": "708-798-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 W 183RD ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "64030",
            "telephone_number": "708-798-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "YURI",
        "middle_name": "MIURA KIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036102854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Home Healthcare, Inc
• Angela M Kelly, MA,CCC-SPL
• Iman Kelly
• Sheila Kendryna, D.T.
• Tina C Kenebrew, D.T.
• Jason Anthony Kieffer, LCPC
• Cathleen Kilboy, D.T.
• Aleyiah King
• Carmen King
• Rosa Vera King, LCPC

• Ophthalmology Physician in Homewood, IL
• Providers in Homewood, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.