Inyoung Kim, MD, PHD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036168465 Issued in IL

Practice address

737 N Michigan Ave Ste 720
Chicago, IL 60611-6661

Phone

(312) 319-1978

Fax

(312) 262-7791

NPI assigned

May 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, 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

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

University of Chicago, Pritzker School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jordan C Carqueville MD LLCGroup PAC ID 6709116361, 10 clinicians

Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital Hospital, Munster, IN, CCN 150125

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ikim312158@ssdirect.comhs.org

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.

• Jordan C. Carqueville, MD LLC

  • Dermatology Physician
  • Chicago, IL
  • NPI 1710531330
  Medicare reassignment Care Compare group NPD
• Community Care Network Inc

  • Family Medicine Physician
  • St John, IN
  • NPI 1457610487
  Medicare reassignment Care Compare group NPD
• University Dermatology Center PC

  • Specialist
  • Muncie, IN
  • NPI 1578615266
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Munster Medical Research Foundation Inc

  • General Acute Care Hospital
  • Munster, IN
  • NPI 1003918210
  Care Compare affiliation

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

{
    "created_epoch": "1431820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1730567264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N YORK RD STE 100",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213515",
            "telephone_number": "312-319-1978",
            "fax_number": "312-262-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE STE 720",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606116661",
            "telephone_number": "312-319-1978",
            "fax_number": "312-262-7791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 N York Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213515",
            "country_code": "US",
            "telephone_number": "312-319-1978",
            "fax_number": "312-262-7791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 MacArthur Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212917",
            "country_code": "US",
            "telephone_number": "219-703-2417",
            "fax_number": "219-703-6947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4905 Old Orchard Ctr Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600771458",
            "country_code": "US",
            "telephone_number": "312-319-1978",
            "fax_number": "312-262-7791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1945 W Wilson Ave Ste 6119",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606405259",
            "country_code": "US",
            "telephone_number": "312-319-1978",
            "fax_number": "312-262-7791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "INYOUNG",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-17",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036168465",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036168465",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IN",
            "license": "01088610A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300097546",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hyunsoo Kim, D.D.S.
• Hyunsoo Kim
• Hyunwha Kim, MS
• Iliana Kim, PT
• Inkyung-Yuleei Kim, LCPC, CADC
• Isabella Grace Kim
• Jacob Kim
• Jaewoo Kim
• Janette G Kim, RN
• Jangsoo Kim, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.