ANDREW JEE SOO KIM (MD) – Hospitalist Physician, NPI 1053670133

ANDREW JEE SOO KIM (MD) is a healthcare provider. based in Decatur, Georgia. specializing in HOSPITALIST, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 078379 (GA). The NPI Number for ANDREW JEE SOO KIM (MD) is 1053670133

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW JEE SOO KIM (MD)
NPI
1053670133
Phone
(404) 501-1000
Address
2701 N DECATUR RD
Enumeration Date
10 May 2012
Last Update Date
21 December 2018

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
4047286812
Graduation Year
2012 (14 years ago)
PAC ID
4688810492
Group Practice PAC ID
3476559782
Professional Enrollment ID
I20171228000432
Address ID
GA303294021AT1821XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,282 HOSPITALIST in GA

Provider Addresses for ANDREW JEE SOO KIM (MD)

  • 2701 N DECATUR RD

    DECATUR, GA 300335918

    Phone: (404) 501-1000

    Type: Location

  • 887 N Indian Creek Dr Ste A

    Clarkston, GA 300212247

    Phone: (470) 799-0044

    Type: Location

  • 916 HOLLY HEDGE RD

    STONE MOUNTAIN, GA 300832334

    Phone: (914) 714-9363

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2023-10-23 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($40).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$40
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-12-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171228000432IHospitalistGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes16079$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8244$0
99239Hospital discharge day management, more than 30 minutes7667$0
36415Insertion of needle into vein for collection of blood sample4623$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3636$0
View full utilization report →

Insurance plans in this area (ZIP 30033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476559782View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Internal Medicine, Infectious DiseaseGA
-GA
-GA
Physician AssistantGA
Certified Registered Nurse Anesthetist (Crna)FL
N E U R O L O G YGA

Reviews

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Frequently asked questions

What unique ID ties claims to ANDREW JEE SOO KIM (MD)?
NPI 1053670133 is assigned to ANDREW JEE SOO KIM (MD) under the national enumeration system.
Is ANDREW JEE SOO KIM (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize ANDREW JEE SOO KIM (MD)'s specialty in plain language?
Clinically, the directory lists ANDREW JEE SOO KIM (MD) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What location shows for ANDREW JEE SOO KIM (MD)?
We surface Decatur, Georgia for ANDREW JEE SOO KIM (MD) based on available NPPES addresses.
Is ANDREW JEE SOO KIM (MD) a real provider?
This page reflects official NPPES data for NPI 1053670133. Always confirm identity and privileges with the practice and licensing boards.

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