DR. RONALD KIM (M.D.) – Emergency Medicine Physician, NPI 1104076074

DR. RONALD KIM (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 125051774 (IL). The NPI Number for DR. RONALD KIM (M.D.) is 1104076074

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. RONALD KIM (M.D.)
NPI
1104076074
Phone
Not provided
Address
1944 N WOOD ST
Enumeration Date
26 September 2008
Last Update Date
26 September 2008

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
9075622211
Graduation Year
2006 (20 years ago)
PAC ID
7911031828
Group Practice PAC ID
5193639912
Professional Enrollment ID
I20100813000872
Address ID
AK995084615AN3200XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

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Provider Addresses for DR. RONALD KIM (M.D.)

  • 1944, North Wood Street, Logan Square, Chicago, Cook County, Illinois, 60622, United States

    CHICAGO, IL 606221138

    Phone:

    Type: Mailing

  • 1900, West Polk Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States

    CHICAGO, IL 606123723

    Phone: (312) 864-0060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-05-26 • Largest payer in this snapshot: Antares Pharma, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Antares Pharma, Inc.$15
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: 2016-05-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100813000872IEmergency MedicineAKTBD
I20160510002528IEmergency MedicineORTBD

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
99285Emergency department visit with high level of medical decision making242237$0
99291Critical care, first 30-74 minutes2323$0
99284Emergency department visit with moderate level of medical decision making1818$0
View full utilization report →

Insurance plans in this area (ZIP 60622)

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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: 5193639912View full group profile

Reviews

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Frequently asked questions

What is DR. RONALD KIM (M.D.)'s NPI number?
DR. RONALD KIM (M.D.)'s NPI is 1104076074 — the number used across U.S. healthcare to identify this provider.
Is DR. RONALD KIM (M.D.) shown as active in public data?
Registry records indicate DR. RONALD KIM (M.D.) maintains an active NPI.
How would a patient describe DR. RONALD KIM (M.D.)'s focus?
For DR. RONALD KIM (M.D.), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. RONALD KIM (M.D.) registered?
Use Chicago, Illinois as the headline location for DR. RONALD KIM (M.D.) here.
When was this NPI issued?
Enumeration for DR. RONALD KIM (M.D.) is noted as September 26, 2008 where the registry provides it.

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