DR. JAE CHUL KIM (MD) – Psychiatry Physician, NPI 1295734762

DR. JAE CHUL KIM (MD) is a healthcare provider. based in Flint, Michigan. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. JK040509 (MI). The NPI Number for DR. JAE CHUL KIM (MD) is 1295734762

Main info

Male
Sole Proprietor
63 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAE CHUL KIM (MD)
NPI
1295734762
Phone
(810) 732-2975
Address
5031 VILLA LINDE PKWY
Enumeration Date
18 July 2005
Last Update Date
16 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1963 (63 years ago)
PAC ID
2769553999
Professional Enrollment ID
I20080616000773
Address ID
MI485323448Fl5031XPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,213 PSYCHIATRY in MI

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Provider Addresses for DR. JAE CHUL KIM (MD)

  • 5031, Villa Linde Parkway, Flint Township, Genesee County, Michigan, 48532, United States

    STE 20

    FLINT, MI 485323448

    Phone: (810) 732-2975

    Fax: (810) 732-0116

    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 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-09-12 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-12

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: 2008-06-16

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
I20080616000773IPsychiatryMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes41056$0
View full utilization report →

Insurance plans in this area (ZIP 48532)

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Provider's Procedures

DR. JAE CHUL KIM (MD) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYMI90792Psychiatric diagnostic evaluation with medical services3535

Reviews

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Frequently asked questions

How is DR. JAE CHUL KIM (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. JAE CHUL KIM (MD) with NPI 1295734762.
Does CMS list DR. JAE CHUL KIM (MD) as active?
Yes — DR. JAE CHUL KIM (MD) is active in the NPI listing used on this page.
What taxonomy line describes DR. JAE CHUL KIM (MD)?
For research purposes, treat DR. JAE CHUL KIM (MD) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JAE CHUL KIM (MD)?
DR. JAE CHUL KIM (MD)'s geographic hint is Flint, Michigan in our summary view.
Why does DR. JAE CHUL KIM (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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