Active NPI
Yeong H. Kim, M.D.
- Cardiovascular Disease Physician
- Schaumburg, IL
National Provider Identifier
1811939010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036044777
- Practice address
- 455 S Roselle Rd
#207
Schaumburg, IL 60193-2971 - Phone
- (847) 301-1212
- Fax
- (847) 301-1277
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036044777 | IL | Primary |
Addresses
Primary practice location
455 S Roselle Rd
#207
Schaumburg, IL 60193-2971
Mailing address
455 S Roselle Rd
#207
Schaumburg, IL 60193-2971
Phone (847) 301-1212
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110067930 | Other | IL | RAILROAD MEDICARE |
| 036044777 | Medicaid | IL | |
| 21603515 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Zaveri & Associates SC | Cardiovascular Disease | Past | Accepting new patients |
| Yeong H. Kim MD, Facc, SC | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Schaumburg, IL
- NPI 1750541967
-
- Cardiovascular Disease Physician
- Schaumburg, IL
- NPI 1194761411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1811939010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 S ROSELLE RD",
"address_2": "#207",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601932971",
"telephone_number": "847-301-1212",
"fax_number": "847-301-1277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 S ROSELLE RD",
"address_2": "#207",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601932971",
"telephone_number": "847-301-1212",
"fax_number": "847-301-1277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YEONG",
"middle_name": "H.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036044777",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110067930",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036044777",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "21603515",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.