Individual provider Active NPI

Jae H. Kim, M.D.

  • Neurology Physician
  • Ocala, FL
National Provider Identifier
1841426400
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME175404 Issued in FL
Practice address
2820 SE 3Rd CT Ste 200
Ocala, FL 34471-0442
Phone
(352) 401-8817
NPI assigned
Jun 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 58603 MN
Vascular & Interventional Radiology Physician 2085R0204X 58603 MN
Neurology Physician 2084N0400X ME175404 FL Primary
Vascular Neurology Physician 2084V0102X 58603 MN
Neurology Physician 2084N0400X 10113 SD
Vascular Neurology Physician 2084V0102X 10113 SD

Addresses

Primary practice location

2820 SE 3Rd CT Ste 200
Ocala, FL 34471-0442

Mailing address

2820 SE 3Rd CT
Ocala, FL 34471-0457
Phone (352) 401-8817

Other practice location 1

1210 W 18th St Ste 100
Sioux Falls, SD 57104-4650
Phone (605) 312-8500

Other practice location 2

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 672-7422

Other practice location 3

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 626-3343

Other practice location 4

115 2nd Ave S Apt 1415
Minneapolis, MN 55401-2021
Phone (201) 952-0584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140918001530 MN Practitioner - Neurology 4880813161 Reassigns benefits to 1 organization
I20161216000364 SD Practitioner - Neurology 4880813161 Reassigns benefits to 1 organization
I20251205000232 FL Practitioner - Neurology 4880813161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Practice addresses (Care Compare)

2700 Healing Way
Wesley Chapel, FL 33543-5453

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

677 Cathedral Dr
Suite 200
Rapid City, SD 57701-7389
Phone (605) 755-4150

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME175404FLMDNeurology Physician
58603MNMDNeurology Physician
10113SDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital, Inc CurrentSince Feb 9, 2022 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
The Duluth Clinic, LTD. CurrentSince Feb 16, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
The Duluth Clinic, LTD CurrentSince Feb 16, 2024 Accepting new patients
Florida Hospital Physician Group Inc Neurology CurrentSince Nov 1, 2025 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Feb 9, 2022 Accepting new patients

Locations

2820 SE 3rd Ct
Ste 200
Ocala, FL 34471
Phone (352) 401-8817

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

677 Cathedral Dr
Ste 200
Rapid City, SD 57701
Phone (605) 343-9224

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jkim5732514@adventhealth.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1841426400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 SE 3RD CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710457",
            "telephone_number": "352-401-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 SE 3RD CT STE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710442",
            "telephone_number": "352-401-8817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 W 18th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571044650",
            "country_code": "US",
            "telephone_number": "605-312-8500",
            "fax_number": "605-312-8501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 Fulton St SE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55455",
            "country_code": "US",
            "telephone_number": "612-672-7422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Harvard St SE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554550363",
            "country_code": "US",
            "telephone_number": "612-626-3343",
            "fax_number": "612-626-3366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 2nd Ave S Apt 1415",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554012021",
            "country_code": "US",
            "telephone_number": "201-952-0584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAE",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "58603",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MN",
            "license": "58603",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME175404",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "MN",
            "license": "58603",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SD",
            "license": "10113",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "SD",
            "license": "10113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.