Changhee Kim MD PHD PLC
NPI 1790963171 · Family Medicine Physician · Troy, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Changhee Kim MD PHD PLC is a Family Medicine Physician organization in Troy, MI (NPI 1790963171).
Provider details
- NPI number
- 1790963171
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Changhee Kim, Owner(248) 740-7771
- License
- 4301059643 (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
18 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
- 2008-02-07
- Last updated
- 2008-02-28
Frequently asked questions
- What is Changhee Kim MD PHD PLC's NPI number?
- Changhee Kim MD PHD PLC's National Provider Identifier (NPI) is 1790963171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Changhee Kim MD PHD PLC?
- Changhee Kim MD PHD PLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Changhee Kim MD PHD PLC located?
- Changhee Kim MD PHD PLC's practice location on file with NPPES is 38815 Dequindre Rd, Troy, MI 48083-6810.
- What is Changhee Kim MD PHD PLC's phone number?
- The practice phone number listed in the NPPES registry for Changhee Kim MD PHD PLC is (248) 740-7771.
- Does Changhee Kim MD PHD PLC accept Medicare?
- Changhee Kim MD PHD PLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Changhee Kim MD PHD PLC?
- The authorized official listed on Changhee Kim MD PHD PLC's NPPES record is Changhee Kim, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Changhee Kim MD PHD PLC's NPI active?
- Yes — Changhee Kim MD PHD PLC's NPI (1790963171) is active in the NPPES registry as of the last update on 2008-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.