JAE HOON KIM (DO) – Nephrology Physician, NPI 1164981965
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,158 INTERNAL MEDICINE in RI
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Provider Addresses for JAE HOON KIM (DO)
Kent Hospital, 455, Toll Gate Road, Apponaug Historic District, Apponaug, Warwick, Kent County, Rhode Island, 02886, United States
WARWICK, RI 028862770
Phone: (401) 737-7010
Fax: (401) 736-1975
Type: Mailing
1660 S Columbian Way
Seattle, WA 981081532
Phone: (206) 762-1010
Type: Location
455 Toll Gate Rd
Warwick, RI 028862759
Phone: (401) 737-7010
Fax: (401) 736-1975
Type: Location
2624 11 Mile Rd
Berkley, MI 480723050
Phone: (248) 399-0764
Type: Location
1959 NE Pacific St
Seattle, WA 981952759
Phone: (206) 598-3300
Type: Location
325 9th Ave
Seattle, WA 981042420
Phone: (206) 744-3000
Type: Location
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 480333849
Phone: (248) 551-4149
Type: Mailing
3535 W 13 MILE RD STE 247
ROYAL OAK, MI 480736770
Phone: (248) 551-4149
Fax: (248) 551-4150
Type: Location
325 9TH AVE
SEATTLE, WA 981042420
Phone: (206) 744-3000
Type: Location
1959 NE PACIFIC STREET BOX 356521
SEATTLE, WA 981950001
Phone: (206) 543-2570
Type: Mailing
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: 2024-08-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240802000591 | I | Internal Medicine | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02886)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Hematology/Oncology, Internal Medicine | MI | |
| P S Y C H I A T R Y | MI | |
| - | MI | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI |
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