DR. HAEJIN KIM (MD) – Allergy & Immunology Physician, NPI 1487706354

DR. HAEJIN KIM (MD) is a healthcare provider. based in Canton, Michigan. specializing in INTERNAL MEDICINE, ALLERGY/IMMUNOLOGY. They hold the professional credentials MD. They hold a License No. 4301097963 (MI). The NPI Number for DR. HAEJIN KIM (MD) is 1487706354

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. HAEJIN KIM (MD)
NPI
1487706354
Phone
(313) 598-3699
Address
2759 CALLOWAY COURT
Enumeration Date
18 January 2007
Last Update Date
6 September 2012

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
3139162600
Graduation Year
2004 (22 years ago)
PAC ID
1254519168
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20110623000727
Address ID
MI482022608DE2799XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for DR. HAEJIN KIM (MD)

  • 2759, Calloway Court, Links of Pheasant Run West, Canton Township, Wayne County, Michigan, 48188, United States

    CANTON, MI 48188

    Phone: (313) 598-3699

    Type: Mailing

  • Ford Place, Henry Ford Health System Corporate Office, New Center, Detroit, Wayne County, Michigan, 48202:48208, United States

    SUITE 4B

    DETROIT, MI 48202

    Phone: (313) 876-2662

    Fax: (313) 876-2094

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-06-23

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
I20110623000727IAllergy/ImmunologyMITBD

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 minutes3123$0
99214Established patient office or other outpatient visit, 30-39 minutes2718$0
99204New patient office or other outpatient visit, 45-59 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 48188)

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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: 0547178311View full group profile
NameSpecialtyState
-MI
Gastroenterology, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)MI
Clinical Social WorkerMI
-MI
Physician AssistantMI
Qualified AudiologistMI
O P H T H A L M O L O G YMI
-MI
-MI

Reviews

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Frequently asked questions

What is the standard ID for DR. HAEJIN KIM (MD) in the U.S.?
In the U.S., DR. HAEJIN KIM (MD) is identified by NPI 1487706354.
Is DR. HAEJIN KIM (MD)'s NPI status active today?
Active status means DR. HAEJIN KIM (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. HAEJIN KIM (MD)?
NPPES ties DR. HAEJIN KIM (MD) to Allergy & Immunology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. HAEJIN KIM (MD) tied to Canton, Michigan?
If you are local to Canton, Michigan, DR. HAEJIN KIM (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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