DR. JENNIFER KIM (MD) – Diagnostic Radiology Physician, NPI 1326033366
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
804 DIAGNOSTIC RADIOLOGY in CT
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Provider Addresses for DR. JENNIFER KIM (MD)
11995, Singletree Lane, Eden Prairie, Hennepin County, Minnesota, 55344, United States
STE 500
EDEN PRAIRIE, MN 553445347
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
35, Deacons Way, New Canaan, Western Connecticut Planning Region, Connecticut, 06840, United States
NEW CANAAN, CT 068404221
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Location
3600 MINNESOTA DR STE 800
EDINA, MN 554357915
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Location
39000 Bob Hope Dr
Rancho Mirage, CA 922703221
Phone: (760) 340-3911
Type: Location
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 553445349
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $40,464.
Total Amount is formed as General ($40,464) + Research ($0) + Ownership ($0) = $40,464.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($40,447).
Total Amount
$40,464
General + Research + Ownership
Payments
34
Total payment records
General Amount
$40,464
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $40,447 |
| CORDIS US CORP. | $17 |
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: 2025-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20100810000785 | I | Diagnostic Radiology | CT | TBD |
| I20220329001553 | I | Diagnostic Radiology | MI | TBD |
| I20250729002180 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 74177 | Ct scan of abdomen and pelvis with contrast | 122 | 122 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 100 | 100 | $0 |
| 71045 | X-ray of chest, 1 view | 84 | 78 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 68 | 68 | $0 |
| 70450 | Ct scan head or brain without contrast | 66 | 66 | $0 |
Insurance plans in this area (ZIP 55344)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | CT | 71010 | X-ray of chest, 1 view, front | 566 | 494 |
| DIAGNOSTIC RADIOLOGY | CT | 71250 | CT scan chest | 65 | 64 |
| DIAGNOSTIC RADIOLOGY | CT | 73630 | X-ray of foot, minimum of 3 views | 26 | 22 |
| DIAGNOSTIC RADIOLOGY | CT | 74177 | CT scan of abdomen and pelvis with contrast | 52 | 51 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | NY | |
| - | NY | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | MA | |
| Nurse Practitioner | NY | |
| Diagnostic Radiology, Interventional Radiology | MN | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | NY | |
| - | NY |
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