JOHN J KIM (M.D.) – Obstetrics & Gynecology Physician, NPI 1891717088

JOHN J KIM (M.D.) is a healthcare provider. based in Coeur d alene, Idaho. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. A74177 (CA). The NPI Number for JOHN J KIM (M.D.) is 1891717088

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
JOHN J KIM (M.D.)
NPI
1891717088
Phone
(208) 765-4888
Address
980 W IRONWOOD DR STE 201
Enumeration Date
24 July 2006
Last Update Date
14 May 2020

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2087654888
Graduation Year
1999 (27 years ago)
PAC ID
6901876804
Group Practice PAC ID
1951306844
Professional Enrollment ID
I20100908000896
Address ID
ID838142668CO980XXDRXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

201 OBSTETRICS/GYNECOLOGY in ID

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Provider Addresses for JOHN J KIM (M.D.)

  • 980 W IRONWOOD DR STE 201

    COEUR D ALENE, ID 838142668

    Phone: (208) 765-4888

    Fax: (208) 667-8618

    Type: Mailing

  • Chinook Medical Building, 980, West Ironwood Drive, Blackwell, Coeur d'Alene, Kootenai County, Idaho, 83814, United States

    SUITE 304

    COEUR D ALENE, ID 838142668

    Phone: (208) 765-4888

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $980.

Total Amount is formed as General ($980) + Research ($0) + Ownership ($0) = $980.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Astellas Pharma US Inc ($527).

Total Amount

$980

General + Research + Ownership

Payments

53

Total payment records

General Amount

$980

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2010-09-08

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
I20100908000896IObstetrics/GynecologyIDTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2522$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1515$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 83814)

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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: 1951306844View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YID
Certified Nurse Midwife (Cnm)ID
O B S T E T R I C S/ G Y N E C O L O G YID
O B S T E T R I C S/ G Y N E C O L O G YID
Certified Nurse Midwife (Cnm)ID
-ID

Reviews

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Frequently asked questions

What is JOHN J KIM (M.D.)'s NPI number?
JOHN J KIM (M.D.)'s NPI is 1891717088 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JOHN J KIM (M.D.)?
For scheduling context, JOHN J KIM (M.D.) is shown as active in the registry.
What area of care is associated with JOHN J KIM (M.D.)?
JOHN J KIM (M.D.)'s record emphasizes Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where in Idaho is JOHN J KIM (M.D.) registered?
Use Coeur D Alene, Idaho as the headline location for JOHN J KIM (M.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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