Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871056739 Individual Practitioner Female Practitioner

Jacqueline Ilji Kim

Surgery • Saint Louis, MO

Professional Overview & Biography Verified Profile Summary

Jacqueline Kim is a registered healthcare professional specializing in Surgery in Saint Louis, MO. Practice services are available at 1 BARNES JEWISH HOSPITAL PLZ under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Barnes Jewish Hospital Plz

Saint Louis, MO 631101003

Telephone 3147479889
Fax 3143614197
Associated Practice Facility / Clinic
🏢 Midwest Lithotripsy, Llc Facility NPI 1831198639

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
246 Specialists

Practicing in Saint Louis, MO (766 Statewide)

Telehealth Adoption Rate
9.8% 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

CMS Verified: 2026-07-08
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MO 2026024431

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

26 Associated Practitioners
NPI 1033558192

Doctor of Medicine (M.D.)

Mallory Hubbard , PA

Physician Assistant

NPI 1104478080

Physician Assistant

Dr. Jason Wellen , MD

Transplant Surgery

NPI 1134331382

Doctor of Medicine (M.D.)

Lauren Lutz , FNP

Nurse Practitioner

NPI 1174155337

Family Nurse Practitioner

Dr. Decha Enkvetchakul , MD

Internal Medicine - Nephrology

NPI 1205852514

Doctor of Medicine (M.D.)

NPI 1316201940

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 08, 2026

Registered at 1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 631101003 (Tel: 3147479889)

📍
Updated Business Mailing Address July 08, 2026

Registered at 100 N KINGSHIGHWAY BLVD APT 2107, SAINT LOUIS, MO 631081583 (Tel: 9176552299)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2026

Surgery (License #2026024431 in MO)

NPI Profile Active April 08, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2019

Registered at 550 1ST AVE, NEW YORK, NY 100166402 (Tel: 2122636378)

📍
Updated Business Mailing Address April 08, 2019

Registered at 294A 14TH ST APT 3, BROOKLYN, NY 112154912 (Tel: 9176552299)

👤
Provider Name / Credentials Updated April 08, 2019

Recorded as JACQUELINE KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 08, 2019

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: 1871056739
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2019
Last Update: July 08, 2026
Sole Proprietor: No

Mailing Address

100 N Kingshighway Blvd Apt 2107

Saint Louis, MO 631081583

Phone: 9176552299

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.