DR. NIKKI N KIM (MD) – Dermatology Physician, NPI 1700197811

DR. NIKKI N KIM (MD) is a healthcare provider. based in Elmhurst, Illinois. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 036136330 (IL). The NPI Number for DR. NIKKI N KIM (MD) is 1700197811

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. NIKKI N KIM (MD)
NPI
1700197811
Phone
Not provided
Address
103 N HAVEN RD
Enumeration Date
24 June 2010
Last Update Date
15 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8472724433
Graduation Year
2010 (16 years ago)
PAC ID
4284855081
Group Practice PAC ID
2264427251
Professional Enrollment ID
I20141020002528
Address ID
IL600627930NO400XXBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

703 DERMATOLOGY in IL

Provider Addresses for DR. NIKKI N KIM (MD)

  • 103 N HAVEN RD

    STE 7

    ELMHURST, IL 601262923

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $3,273.

Total Amount is formed as General ($3,273) + Research ($0) + Ownership ($0) = $3,273.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($2,415).

Total Amount

$3,273

General + Research + Ownership

Payments

54

Total payment records

General Amount

$3,273

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-10-20

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
I20141020002528IDermatologyILTBD

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
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg5,40023$0
17003Destruction of precancer skin growth, 2-14 growths1,153276$0
99213Established patient office or other outpatient visit, 20-29 minutes982651$0
17000Destruction of precancer skin growth, 1 growth653433$0
88305Pathology examination of tissue using a microscope, intermediate complexity454334$0
View full utilization report →

Insurance plans in this area (ZIP 60126)

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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: 2264427251View full group profile
NameSpecialtyState
D E R M A T O L O G YIL
Physician AssistantIL
D E R M A T O L O G YID
D E R M A T O L O G YIL
D E R M A T O L O G YIL
D E R M A T O L O G YIL
D E R M A T O L O G YIL
D E R M A T O L O G YIL
D E R M A T O L O G YIL
D E R M A T O L O G YMA

Reviews

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Frequently asked questions

What is the registry number for DR. NIKKI N KIM (MD)?
The registry entry for DR. NIKKI N KIM (MD) shows NPI 1700197811.
Is DR. NIKKI N KIM (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. NIKKI N KIM (MD) as active.
What does the directory say DR. NIKKI N KIM (MD) does?
Insurance directories may phrase it differently, but here DR. NIKKI N KIM (MD) maps to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. NIKKI N KIM (MD)?
DR. NIKKI N KIM (MD) shows a connection to Elmhurst, Illinois in registry-derived data.
Who maintains DR. NIKKI N KIM (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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