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Dr. Jay Chan Kim , MD

Physician • Chicago, IL

Deactivated NPI 1538312244 Deactivated in NPPES Male Practitioner
Practice location in NPPES

1014 N Kingsbury St
Chicago, IL 606103770

Phone: 3126611877

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of December 16, 2022; the reason is not published. The records below are historical. They do not show whether Dr. Jay Kim currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date October 24, 2008
NPI Deactivation Date December 16, 2022
NPI Active Period 2008 – 2022

Practice Location & Contact Primary Location

Practice Address

1014 N Kingsbury St

Chicago, IL 606103770

Telephone 3126611877

30-day fills

16 standardized 30-day fills in 2020

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$159 in 2020

The total cost of these prescriptions in 2020, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $14.07 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Chicago and Illinois

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Medicare Part D Prescribers (2020), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $14.07.

Manufacturer Payment Nature Product Type Amount ($)
Axonics, Inc.
Food and Beverage
In-kind items and services
Axonics General $14.07

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2020.

CMS Part D · Data Year 2020
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Mupirocin Mupirocin 16 160 $158.59 —

Source: CMS Part D by Provider and Drug, 2020; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

General Acute Care Hospital Primary Specialty

NUCC Taxonomy Code: 282N00000X

License # reported to NPPES IL 036.048598

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated December 16, 2022

NPPES lists this NPI as deactivated as of December 16, 2022; the reason is not published.

✅
NPI Profile Active October 24, 2008

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) October 24, 2008

Registered at 1014 N KINGSBURY ST, CHICAGO, IL 606103770 (Tel: 3126611877)

📍
Business Mailing Address (Initial Record) October 24, 2008

Registered at 1014 N KINGSBURY ST, CHICAGO, IL 606103770 (Tel: 3126611877)

👤
Provider Name / Credentials (Initial Record) October 24, 2008

Recorded as JAY KIM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2008

General Acute Care Hospital (license number reported to NPPES: IL 036.048598)

🟢
Initial NPI Registration & Enumeration October 24, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1538312244
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2008
Last Update: October 24, 2008
Deactivation Date: December 16, 2022

Mailing Address

1014 N Kingsbury St

Chicago, IL 606103770

Phone: 3126611877

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.