NPIMap

Individual provider Active NPI

Jane Soon-Mee Kim, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Lakewood, CO
National Provider Identifier
1912970682
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
41772 Issued in CO
Practice address
11700 W 2ND PL
Suite 450
Lakewood, CO 80228-1704
Phone
(303) 825-1234
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 41772 CO Primary

Addresses

Primary practice location

11700 W 2ND PL
Suite 450
Lakewood, CO 80228-1704

Mailing address

11700 W 2ND PL
Suite 450
Lakewood, CO 80228-1704
Phone (303) 825-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223001181 CO Practitioner - Geriatric MedicinePractitioner - Family Practice 7517853070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
University of Kentucky College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geriatric Medicine Associates, PCGroup PAC ID 7214827492, 14 clinicians

Practice addresses (Care Compare)

11700 W 2ND PL
Lakewood, CO 80228-1719
Phone (303) 825-1234

Hospital & facility affiliations

  • Home Health Denver Home health agency, Centennial, CO, CCN 067115
  • Ahc Home Health of Colorado LLC Home health agency, Greenwood Village, CO, CCN 067475
  • Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015
  • Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104
  • AdventHealth Porter Hospital, Denver, CO, CCN 060064
  • Intermountain Health Lutheran Hospital Hospital, Wheat Ridge, CO, CCN 060009
  • University of Colorado Hospital Authority Hospital, Aurora, CO, CCN 060024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41772COMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Medicine Associates, PC CurrentSince Jan 1, 2012 Accepting new patients
Geriatric Medicine Associates, PC CurrentSince Jan 1, 2012 Accepting new patients

Locations

1601 Lowell Blvd
Denver, CO 80204
Phone (303) 264-6900

11700 W 2nd Pl
Ste 4450
Lakewood, CO 80228
Phone (303) 825-1234

11700 W 2nd Pl
Ste 450
Lakewood, CO 80228
Phone (303) 825-1234

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.

Hospital & facility affiliations 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1912970682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 W 2ND PL",
            "address_2": "SUITE 450",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281704",
            "telephone_number": "303-825-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 W 2ND PL",
            "address_2": "SUITE 450",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281704",
            "telephone_number": "303-825-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JANE",
        "middle_name": "SOON-MEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CO",
            "license": "41772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.