Individual provider Active NPI

Joan Kim

  • Ophthalmology Physician
  • Des Plaines, IL
National Provider Identifier
1609049279
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036142820 Issued in IL
Practice address
73 N Broadway St
Des Plaines, IL 60016-2347
Phone
(224) 725-3239
NPI assigned
Apr 3, 2008
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 264824 NY
Ophthalmology Physician 207W00000X 036142820 IL Primary

Addresses

Primary practice location

73 N Broadway St
Des Plaines, IL 60016-2347

Mailing address

1229 Leonard PL
Evanston, IL 60201-2629
Phone (847) 903-9055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120711000297 NY Practitioner - Ophthalmology 0547425878 Reassigns benefits to 1 organization
I20170719003738 IL Practitioner - Ophthalmology 0547425878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2050 Pfingsten Rd
Suite 200
Glenview, IL 60026-1373
Phone (847) 657-1820

73 N Broadway St
Des Plaines, IL 60016-2347
Phone (224) 725-3239

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036142820ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Jul 1, 2017 Accepting new patients
Susan L. Kim Medical Associates PLLC CurrentSince Mar 1, 2023 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Jul 10, 2014 Accepting new patients
Endeavor Health Medical Group Ophthalmology Current Accepting new patients
Joan Kim MD LLC Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
Ophthalmic Consultants Corneal and Refractive Surgery Associates PC Ophthalmology Past Accepting new patients

Locations

303 W Lake St
Ste 303
Addison, IL 60101
Phone (630) 225-7247

9532 Eagle Way
Chicago, IL 60678

73 N Broadway St
Des Plaines, IL 60016
Phone (224) 725-3239

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2050 Pfingsten Rd
Ste 200
Glenview, IL 60026
Phone (847) 657-1820

2050 Pfingsten Rd
Ste 280
Glenview, IL 60026
Phone (224) 251-2020

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

Interoperability endpoints

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

Organizations & group practices 6

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 2

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": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1609049279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 LEONARD PL",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012629",
            "telephone_number": "847-903-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 N BROADWAY ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162347",
            "telephone_number": "224-725-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-03",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "264824",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036142820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.