Individual provider Active NPI

James C Kim, M.D.

  • Urology Physician
  • Arlington Heights, IL
National Provider Identifier
1750479648
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036099357 Issued in IL
Practice address
2101 S Arlington Heights Rd Ste 150
Arlington Heights, IL 60005-4142
Phone
(847) 439-4343
Fax
(847) 439-4510
NPI assigned
Oct 10, 2006
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036-099357 IL
Urology Physician 208800000X 036099357 IL Primary

Addresses

Primary practice location

2101 S Arlington Heights Rd Ste 150
Arlington Heights, IL 60005-4142

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Other identifiers 1

IdentifierTypeStateIssuer
036-099357MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkim227817@dulyhealthandcare.direct-ci.com

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
I20070327000470 IL Practitioner - UrologyPractitioner - General Surgery 3072617323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: General Surgery
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

1325 N Meacham Rd
Schaumburg, IL 60173-4824
Phone (630) 469-9200

17495 La Grange Rd
Tinley Park, IL 60487-7581
Phone (708) 226-7000

2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121

30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210

40 S Clay St
Hinsdale, IL 60521-3257

430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200

430 Warrenville Rd
Suite 210
Lisle, IL 60532-1348
Phone (630) 432-6180

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-099357ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
United Shockwave Services, LTD. CurrentSince Nov 10, 2008 Accepting new patients
United Shockwave Services, LTD. Urology CurrentSince Nov 10, 2008 Accepting new patients
Dupage Medical Group LTD CurrentSince May 1, 2021 Accepting new patients
Dupage Medical Group LTD CurrentSince May 1, 2021 Accepting new patients
Northwest Urological Associates, S.C. Specialist Current Accepting new patients
DMG Surgical Center LLC Past Accepting new patients

Locations

2010 S Arlington Heights Rd
Ste 121
Arlington Heights, IL 60005
Phone (708) 439-4343

2101 S Arlington Heights Rd
Arlington Heights, IL 60005
Phone (847) 228-3200

2101 S Arlington Heights Rd
#R
Arlington Heights, IL 60005
Phone (847) 228-6955

2101 S Arlington Heights Rd
Ste 108
Arlington Heights, IL 60005
Phone (224) 404-6500

2101 S Arlington Heights Rd
Ste 150
Arlington Heights, IL 60005
Phone (847) 259-2410

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

2725 Technology Dr
Lombard, IL 60148
Phone (630) 348-3300

1875 W Dempster St
Ste G04
Park Ridge, IL 60068
Phone (630) 684-9361

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222

815 Pasquinelli Dr
Westmont, IL 60559
Phone (630) 366-7854

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 3

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1750479648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S ARLINGTON HEIGHTS RD STE 150",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054142",
            "telephone_number": "847-439-4343",
            "fax_number": "847-439-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAMES",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-099357",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036099357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-099357",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkim227817@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "2101 S Arlington Heights Rd Ste 150",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600054142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.