Ji-yeon Kim
M.D. | Pediatric Critical Care Medicine | Female
Ji-yeon Kim, M.D. is a Detroit, Michigan based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Ji-yeon Kim is
3901 Beaubien St, Detroit, Michigan - 48201-2196. She can be contacted on phone at
313-745-5437.
Ji-yeon Kim is a sole proprietor of her business.
NPI number (Unique professional ID) for Ji-yeon Kim is
1730599879 which was assigned by NPPES on 29 Apr, 2014 and it was last updated on 02 Jun, 2021.
Ji-yeon Kim license number is
4301106197 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Michigan.
Ji-yeon Kim is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Ji-yeon Kim basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
|---|
| Provider Name : | Ji-yeon Kim |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
Business Address:
Ji-yeon Kim address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3901 Beaubien St
Detroit, MI, 48201-2196
United States |
|---|
| Phone Number : | 313-745-5437 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1730599879 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 29 Apr, 2014 |
|---|
| Last Updated On : | 02 Jun, 2021 |
|---|
Medicare Participation:
Ji-yeon Kim participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6800198847 |
|---|
| Medicare Enrollment ID : | I20200325003425 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | Other |
|---|
| Graduation Year : | 2014 |
|---|
| Accepts Medicare? | Yes. Ji-yeon Kim accepts medicare insurance. |
|---|
Group Practice Association:
Ji-yeon Kim is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Ji-yeon Kim is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| University Pediatricians | 9638070568 | 85 | 3901 Beaubien St
Detroit, MI - 482012119
Ph: 3137455870 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ji-yeon Kim are as mentioned. Primary taxonomy code for Ji-yeon Kim, M.D. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 4301106197 | MI |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 4301106197 | MI |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
3901 BEAUBIEN ST,
DETROIT, MI, 48201-2119
United States | DETROIT, MI | 313-745-1892 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3901 Beaubien St
Detroit, MI, 48201-2119
United States |
|---|
| Phone Number : | 248-345-8287 |
|---|
Business Location:
Patients can refer following map for directions to
Ji-yeon Kim practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.