Jae H. Kim, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

73759 Issued in AZ

Practice address

10238 E Hampton Ave Ste 205
Mesa, AZ 85209-3318

Phone

(480) 856-8252

Fax

(470) 268-9921

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in GA, NC, AZ3 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

Specialty

Gastroenterology

Education

Wayne State University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Group Gastro, LLCGroup PAC ID 0941786107, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Honorhealth Four Peaks Medical Center Hospital, Mesa, AZ, CCN 030121
• Honorhealth Tempe Medical Center Hospital, Phoenix, AZ, CCN 030037
• Banner Ironwood Medical Center Hospital, Queen Creek, AZ, CCN 030130
• Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Group Gastro, LLC

  • Gastroenterology Physician
  • Mesa, AZ
  • NPI 1609740455
  Medicare reassignment Care Compare group NPD Authorized official
• Aga, LLC

  dba Atlanta Gastroenterology Associates

  • Gastroenterology Physician
  • Atlanta, GA
  • NPI 1124064118
  Medicare reassignment NPD
• Unc Physicians Network LLC

  dba UNC Family Medicine at Pittsboro

  • Family Medicine Physician
  • Pittsboro, NC
  • NPI 1750704367
  Medicare reassignment NPD
• The Group Path LLC

  • Gastroenterology Physician
  • Mesa, AZ
  • NPI 1831023233
  NPD (past) Authorized official
• Reddy Gi Associates

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1508399544
  NPD
• Unc Physicians Network LLC

  • General Practice Physician
  • Morrisville, NC
  • NPI 1558786830

  Internal Medicine

  NPD
• Unc Physicians Network LLC

  dba UNC Pediatrics at Southpoint

  • Pediatrics Physician
  • Durham, NC
  • NPI 1578987848
  NPD

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

• Banner Gateway Medical Center

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1699884858
  Care Compare affiliation
• Banner Ironwood Medical Center

  • General Acute Care Hospital
  • Queen Creek, AZ
  • NPI 1124341672
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Tempe, AZ
  • NPI 1114744752
  Care Compare affiliation
• Honorhealth

  dba HonorHealth Four Peaks Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1427875061
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Florence, AZ
  • NPI 1497572036
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1861219404
  Care Compare affiliation

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1861578759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1684",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421837",
            "telephone_number": "480-856-8252",
            "fax_number": "470-268-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE STE 205",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093318",
            "telephone_number": "480-856-8252",
            "fax_number": "470-268-9921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37200 N Gantzel Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851407368",
            "country_code": "US",
            "telephone_number": "480-307-6741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 S Mill Ave",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852816699",
            "country_code": "US",
            "telephone_number": "480-784-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 S Crismon Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852093767",
            "country_code": "US",
            "telephone_number": "480-358-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 S Alma School Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852862810",
            "country_code": "US",
            "telephone_number": "480-550-6089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3920 S Rome St",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852977366",
            "country_code": "US",
            "telephone_number": "480-597-4778",
            "fax_number": "480-597-4782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 S 79th St Ste 35",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852261742",
            "country_code": "US",
            "telephone_number": "480-856-8252",
            "fax_number": "470-268-9921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 N Hunt Hwy",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AZ",
            "postal_code": "851326937",
            "country_code": "US",
            "telephone_number": "520-868-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37000 N Gantzel Rd",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851407303",
            "country_code": "US",
            "telephone_number": "480-394-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAE",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "73759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkimmd@thegroupgastro.com",
            "affiliation": "N",
            "address_1": "10238 E Hampton Ave Ste 205",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852093318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahitchcock@thegroupgastro.com",
            "affiliation": "N",
            "address_1": "10238 E Hampton Ave Ste 205",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852093318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexander Serkey Kim, M.D.
• Alyssa Kim, MD
• Chris Min Kim, DMD
• Haknam Kim, PH.D, L.AC.
• Hayun Kim, ANP-C
• Krista Maria Kim, ATC
• Sarah Kim
• Youjong Kim
• Anthony Wanjohi Kimani
• Sarah Kimani

• Gastroenterology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.