NPI
Jae Yong Kim
NPI 1497287635
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2017-03-28
- Last updated
- 2024-02-12
Run it in Rivvi
Check your whole roster against NPI.
Deactivated, mismatched or missing NPIs across every provider, each with the fix. The kind that get claims denied.
Check the rosterFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Is this you? Set up your practice's workspace from this NPI.
Specialties
Licenses
- License CA
- A171816
- License MI
- 4301507485
Location
- Practice location
- 1922 Monroe St
- City
- Dearborn MI
- Postal code
- 48124-2917
- Phone
- (313) 274-7540
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Ophthalmologists in Dearborn, MI. 35 with this primary taxonomy in the public file.
Other NPIs in Dearborn, MI. 7,244 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
Request removal of this page
This removes the page from rivvi.ai. It does not change the record in NPPES.