Dr Jai Kim, MD - Medicare Family Practice in Phoenix, AZ

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Dr Jai Kim, MD is a medicare enrolled "Family Medicine" physician in Phoenix, Arizona. She graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Bhsm Rehabilitation Llc, Summit Medical Group Arizona Llc and her current practice location is 4524 N Maryvale Pkwy Ste 220, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (238) 463-1866.

Dr Jai Kim is licensed to practice in Arizona (license number 52931) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407892268.

Contact Information

Dr Jai Kim, MD
4524 N Maryvale Pkwy Ste 220,
Phoenix, AZ 85031
(238) 463-1866
(623) 846-3757

Map and Direction




Physician's Profile

Full NameDr Jai Kim
GenderFemale
SpecialityFamily Practice
Experience39 Years
Location4524 N Maryvale Pkwy Ste 220, Phoenix, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jai Kim graduated from medical school in 1985
  NPI Data:
  • NPI Number: 1407892268
  • Provider Enumeration Date: 06/21/2006
  • Last Update Date: 07/02/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2163495953
  • Enrollment ID: I20180515001767

Medical Identifiers

Medical identifiers for Dr Jai Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407892268NPI-NPPES
02613789MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 233212 (New York)Secondary
207Q00000XFamily Medicine 52931 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bhsm Rehabilitation Llc20627731381355
Summit Medical Group Arizona Llc3173872835190

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jai Kim allows following entities to bill medicare on her behalf.
Entity NameVhs Outpatient Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912979964
PECOS PAC ID: 4486566726
Enrollment ID: O20031104000523
Entity NameHonorhealth Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043851793
PECOS PAC ID: 1557274057
Enrollment ID: O20031119000717
Entity NameSummit Medical Group Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053810622
PECOS PAC ID: 3173872835
Enrollment ID: O20180814003015

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jai Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jai Kim, MD
4524 N Maryvale Pkwy Ste 220,
Phoenix, AZ 85031-1732

Ph: (623) 846-3186		Dr Jai Kim, MD
4524 N Maryvale Pkwy Ste 220,
Phoenix, AZ 85031

Ph: (238) 463-1866

Reviews and Comments


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Dr. Serena Dawn Woods-grimm, M.D.
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Dr. Umar Iqbal, M.D.
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Geoffrey Peter Radoff, MD
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Phone: 602-993-0200    Fax: 602-993-0207

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.