Deactivated NPI 1477742062 Deactivated / Inactive NPI Female Practitioner

Dr. Jae Jin Kim , MD, PhD

General Practice • Milford, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jae Kim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 18, 2007

NPI Deactivation Date October 09, 2025

Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jae Kim, MD, PhD was a registered General Practice practicing in Milford, CT. Throughout an active medical career spanning 18 years, Dr. Kim provided care at the practice location at 889 BRIDGEPORT AVE until profile deactivation on 2025-10-09.

Historical Medicare Part B clinical services included established patient outpatient office visit, insertion of needle into vein for collection of blood sample, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

889 Bridgeport Ave
Milford Walk-In Medical Care Center

Milford, CT 064603139

Telephone 2037839899

Fax 2038779538

Associated Practice Facility / Clinic

🏢 Milford Medical Care Center Pc Facility NPI 1427126465

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Milford, CT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 22.3 Yrs

Regional Practice Density

3 Specialists

Practicing in Milford, CT (87 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

3.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	176	89	$100.00	$98.89
36415 Insertion of needle into vein for collection of blood sample	30	26	$10.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$140.00	$140.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	396	176	$100.34	$81.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	47	$140.17	$118.12
36415 Insertion of needle into vein for collection of blood sample	41	32	$10.00	$2.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$145.00	$116.88
81002 Urinalysis, manual test	19	14	$10.00	$3.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	675	255	$100.00	$77.61
36415 Insertion of needle into vein for collection of blood sample	93	60	$10.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	65	$140.00	$113.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$145.00	$113.65
81002 Urinalysis, manual test	20	16	$10.00	$3.41
G0008 Administration of influenza virus vaccine	19	19	$25.00	$17.96
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	19	19	$35.00	$19.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	528	230	$100.00	$74.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	90	$140.00	$109.20
36415 Insertion of needle into vein for collection of blood sample	84	68	$10.00	$2.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$145.00	$110.16
G0008 Administration of influenza virus vaccine	19	19	$25.00	$22.26
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$35.00	$19.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	972	391	$99.97	$72.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	132	$140.00	$107.79
36415 Insertion of needle into vein for collection of blood sample	165	112	$9.95	$2.92
94660 Initiation and management of continued pressured respiratory assistance by mask or breathing tube	68	19	$80.00	$64.46
81002 Urinalysis, manual test	54	40	$10.00	$3.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$145.00	$109.54
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	36	36	$35.00	$18.82
G0008 Administration of influenza virus vaccine	36	36	$25.00	$24.50

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CT 019395

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Maxwell Flaugh , PA-C

Physician Assistant

NPI 1871251728

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

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NPI Profile Deactivated October 09, 2025

Record deactivated on October 09, 2025

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NPI Profile Active September 23, 2014

NPI status registered as active in NPPES database

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Updated Practice Location September 23, 2014

Registered at 889 BRIDGEPORT AVE, MILFORD WALK-IN MEDICAL CARE CENTER, MILFORD, CT 064603139 (Tel: 2037839899)

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Updated Business Mailing Address September 23, 2014

Registered at 889 BRIDGEPORT AVE, MILFORD WALK-IN MEDICAL CARE CENTER, MILFORD, CT 064603139 (Tel: 2037839899)

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Provider Name / Credentials Updated September 23, 2014

Recorded as JAE KIM, M.D., PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2014

General Practice (License #019395 in CT)

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Initial NPI Registration & Enumeration October 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1477742062

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 18, 2007

Last Update: September 23, 2014

Deactivation Date: October 09, 2025

Update or Correct Profile

Mailing Address

889 Bridgeport Ave, Milford Walk-In Medical Care Center

Milford, CT 064603139

Phone: 2037839899

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.