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Active NPI 1366441875 Individual Practitioner Male Practitioner

Dr. Won Yang Kim , MD

Internal Medicine • Peru, IL

Professional Overview & Biography Verified Profile Summary

Dr. Won Kim, MD is a registered healthcare professional specializing in Internal Medicine in Peru, IL. Practice services are available at 920 WEST ST under active NPI credentials.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

920 West St
Suite 218

Peru, IL 613542763

Telephone 8152236443
Fax 8152237019
Associated Practice Facility / Clinic
🏢 Valley Health Enterprise Facility NPI 1508903105

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Peru, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.5 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Peru, IL (7544 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.2% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
63 44 $33.33 $8.27

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036057302

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036057302 (IL)
Commercial Insurance / Payer ID Rr Medicare Ptan
110079916 (IL)

Practice Associates & Co-Workers

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

21 Associated Practitioners
Dr. Mark Fernandez , MD

Internal Medicine

NPI 1033114939

Doctor of Medicine (M.D.)

Dr. Peter Meier , MD

Orthopaedic Surgery

NPI 1043250459

Doctor of Medicine (M.D.)

Dr. Qusai Alitter , MD

Internal Medicine - Pulmonary Disease

NPI 1093169419

Doctor of Medicine (M.D.)

Nora Burch , WHNP-BC

Nurse Practitioner - Obstetrics & Gynecology

NPI 1104740877

Women's Health Nurse Practitioner (Board Certified)

NPI 1164629531

Doctor of Medicine (M.D.)

NPI 1194706903

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
NPI Profile Active April 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2017

Registered at 920 WEST ST, SUITE 218, PERU, IL 613542763 (Tel: 8152236443)

📍
Updated Business Mailing Address April 07, 2017

Registered at 920 WEST ST, STE 218, PERU, IL 613542763 (Tel: 8152236443)

👤
Provider Name / Credentials Updated April 07, 2017

Recorded as WON KIM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2017

Internal Medicine (License #036057302 in IL)

📍
Updated Business Mailing Address March 02, 2017

Registered at 920 WEST ST, STE 218, PERU, IL 613542763 (Tel: 8157804619)

NPI Profile Active October 08, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 08, 2015

Registered at 920 WEST ST, SUITE 218, PERU, IL 613542763 (Tel: 8152236443)

📍
Updated Business Mailing Address October 08, 2015

Registered at 1305 6TH ST, PERU, IL 613542759 (Tel: 8157804619)

👤
Provider Name / Credentials Updated October 08, 2015

Recorded as WON KIM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2015

Internal Medicine (License #036057302 in IL)

🟢
Initial NPI Registration & Enumeration July 18, 2005

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: 1366441875
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2005
Last Update: April 07, 2017
Sole Proprietor: Yes

Mailing Address

920 West St, Ste 218

Peru, IL 613542763

Phone: 8152236443

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.