Jae Kim, MD
NPI 1790899755 · Pediatrics Physician · St Clair Shores, MI
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jae Kim, MD is a Pediatrics Physician provider in St Clair Shores, MI (NPI 1790899755).
Provider details
- NPI number
- 1790899755
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301033045 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jae Kim's NPI number?
- Jae Kim's National Provider Identifier (NPI) is 1790899755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jae Kim's specialty?
- Jae Kim is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jae Kim located?
- Jae Kim's practice location on file with NPPES is 24025 Greater Mack, St Clair Shores, MI 48080.
- What is Jae Kim's phone number?
- The practice phone number listed in the NPPES registry for Jae Kim is (586) 777-8280.
- Does Jae Kim accept Medicare?
- Jae Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jae Kim's NPI active?
- Yes — Jae Kim's NPI (1790899755) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.