JOHN IL-CHUNG KIM (M.D.) – Anesthesiology Physician, NPI 1386645497

JOHN IL-CHUNG KIM (M.D.) is a healthcare provider. based in Ravenna, Ohio. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 35056501 (OH). The NPI Number for JOHN IL-CHUNG KIM (M.D.) is 1386645497

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
JOHN IL-CHUNG KIM (M.D.)
NPI
1386645497
Phone
Not provided
Address
PO BOX 30
Enumeration Date
10 August 2005
Last Update Date
2 April 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164448636
Graduation Year
1981 (45 years ago)
PAC ID
8921996133
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20040910001001
Address ID
OH441950001CL9500XAVEX300
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

2,268 ANESTHESIOLOGY in OH

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Provider Addresses for JOHN IL-CHUNG KIM (M.D.)

  • 30, Via Mario Babini, Molino di Filo, Argenta, Unione dei comuni della Bassa Romagna, Ravenna, Emilia-Romagna, 48011, Italy

    RAVENNA, OH 442660030

    Phone:

    Type: Mailing

  • Fairview Hospital, 18101, Lorain Avenue, Kamms Corners, Cleveland, Cuyahoga County, Ohio, 44111, United States

    CLEVELAND, OH 441115612

    Phone: (216) 476-7052

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Mindray DS USA, Inc. ($40).

Total Amount

$87

General + Research + Ownership

Payments

5

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2004-09-10

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
I20040910001001IAnesthesiologyOHTBD

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
00410Anesthesia for procedure to correct abnormal heart rhythm2928$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2928$0
00811Anesthesia for other procedure on large bowel using an endoscope2525$0
00790Anesthesia for other procedure on upper abdomen2222$0
00840Anesthesia for other procedure on lower abdomen1313$0
View full utilization report →

Insurance plans in this area (ZIP 44266)

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Provider's Procedures

JOHN IL-CHUNG KIM (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYOH36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin2626

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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

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Frequently asked questions

What federal number belongs to JOHN IL-CHUNG KIM (M.D.)?
The federal identifier for JOHN IL-CHUNG KIM (M.D.) is NPI 1386645497.
Is JOHN IL-CHUNG KIM (M.D.) currently active in the NPI registry?
CMS-published data lists JOHN IL-CHUNG KIM (M.D.) as an active registrant.
Can you summarize JOHN IL-CHUNG KIM (M.D.)'s specialty in plain language?
Clinically, the directory lists JOHN IL-CHUNG KIM (M.D.) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for JOHN IL-CHUNG KIM (M.D.)?
The page summarizes Ravenna, Ohio for JOHN IL-CHUNG KIM (M.D.); expand the address list for detail.
Is JOHN IL-CHUNG KIM (M.D.) a real provider?
This page reflects official NPPES data for NPI 1386645497. Always confirm identity and privileges with the practice and licensing boards.

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