DR. CHANGHEE KIM MD NPI 1215918479

NPI Information

  • NPI: 1215918479
  • Provider Name: DR. CHANGHEE KIM, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 23D1018496
  • Address: 38815 DEQUINDRE RD
    STE 103
    TROY, MI
    ZIP 48083
  • Phone: (248) 740-7771

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NPI Details

DR. Changhee Kim, MD is a family medicine in Troy, MI with 49 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Changhee Kim, MD NPI is 1215918479. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

38815 DEQUINDRE RD
STE 103
TROY, MI
ZIP 48083
Phone: (248) 740-7771
Fax: (248) 740-7772

The NPI 1215918479 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 23D1018496 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Hemoglobin a1c level (HCPCS:83036)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 11/7/2005 and was last updated on 10/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4301059643MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G23160MEDICARE UPIN
20N12290MEDICARE PINMICHIGAN
30N82980MEDICARE PINMICHIGAN
44562401MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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