Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316981491 Individual Practitioner Male Practitioner

Dr. Jae K Kim , MD

Anesthesiology • Canton, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jae Kim, MD is a registered healthcare professional specializing in Anesthesiology in Canton, IL. Practice services are available at 210 W WALNUT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

210 W Walnut St

Canton, IL 615202444

Telephone 3096475240
Fax 3096475104
Associated Practice Facility / Clinic
🏢 Jae Kim, M.d. Facility NPI 1710928627

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Canton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 28.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Canton, IL (2670 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License IL 036056328

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036056328 (IL)
Commercial Insurance / Payer ID Railroad Medicare Ptan
P00945642 (IL)

Practice Associates & Co-Workers

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

25 Associated Practitioners
Della Eeten , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003013038

Certified Registered Nurse Anesthetist

Gerri Delost , CRNA

Nurse Anesthetist, Certified Registered

NPI 1053480707

Certified Registered Nurse Anesthetist

Courtney Inness

Nurse Practitioner - Family

NPI 1073311403
Lorna Eaton

Physical Therapy Assistant

NPI 1154296119
Christina Willey , OT

Occupational Therapist

NPI 1235699893

Occupational Therapist

Dr. Ronald Champagne , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1306884622

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 04, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 04, 2015

Registered at 210 W WALNUT ST, CANTON, IL 615202444 (Tel: 3096475240)

📍
Updated Business Mailing Address May 04, 2015

Registered at 7309 N KNOXVILLE AVE, SUITE 200, PEORIA, IL 616142085 (Tel: 3096916225)

👤
Provider Name / Credentials Updated May 04, 2015

Recorded as JAE KIM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2015

Anesthesiology (License #036056328 in IL)

🟢
Initial NPI Registration & Enumeration June 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316981491
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2006
Last Update: May 04, 2015
Sole Proprietor: Yes

Mailing Address

7309 N Knoxville Ave, Suite 200

Peoria, IL 616142085

Phone: 3096916225

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.