RAELENE D KENNEDY KIM (MD) – Trauma Surgery Physician, NPI 1003047267
Trauma Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
Provider Addresses for RAELENE D KENNEDY KIM (MD)
351 DELNOR DR STE 400
GENEVA, IL 601344228
Phone: (630) 668-0833
Fax: (630) 208-4373
Type: Mailing
1725 W HARRISON ST STE 810
CHICAGO, IL 606123863
Phone: (312) 942-5500
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $6,699.
Total Amount is formed as General ($6,699) + Research ($0) + Ownership ($0) = $6,699.
Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($6,669).
Total Amount
$6,699
General + Research + Ownership
Payments
9
Total payment records
General Amount
$6,699
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $6,669 |
| Heron Therapeutics, Inc. | $31 |
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: 2019-09-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190910002178 | I | General Surgery | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 82 | 41 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 67 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 29 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 29 | 19 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 60134)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IL | |
| Medical Oncology | IL | |
| Internal Medicine | IL | |
| Diagnostic Radiology | WI | |
| Clinical Psychologist | IL | |
| Internal Medicine | MI | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | IL |
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