Jason K Kim, MD - Medicare Vascular Surgery in Raleigh, NC

Jason K Kim, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Raleigh, North Carolina. He went to Medical College Of Georgia School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice North Carolina Nephrology Pa, Rex Hospital Inc and his current practice location is 4414 Lake Boone Trl, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 784-2300.

Jason K Kim is licensed to practice in North Carolina (license number 2012-02076) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376733873.

Contact Information

Jason K Kim, MD
4414 Lake Boone Trl,
Raleigh, NC 27607-7513
(919) 784-2300
(919) 784-2301

Map and Direction




Physician's Profile

Full NameJason K Kim
GenderMale
SpecialityVascular Surgery
Experience22 Years
Location4414 Lake Boone Trl, Raleigh, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jason K Kim attended and graduated from Medical College Of Georgia School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1376733873
  • Provider Enumeration Date: 07/31/2007
  • Last Update Date: 04/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9830278332
  • Enrollment ID: I20130226000159

Medical Identifiers

Medical identifiers for Jason K Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376733873NPI-NPPES
1050075MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 2012-02076 (North Carolina)Secondary
2086S0129XSurgery - Vascular Surgery 252638 (New York)Secondary
2086S0129XSurgery - Vascular Surgery 2012-02076 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rex HospitalRaleigh, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Carolina Nephrology Pa024451148355
Rex Hospital Inc0840109864652

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jason K Kim allows following entities to bill medicare on his behalf.
Entity NameRex Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144248683
PECOS PAC ID: 0840109864
Enrollment ID: O20140613001181
Entity NameNorth Carolina Nephrology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750835336
PECOS PAC ID: 0244511483
Enrollment ID: O20170103000254

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jason K Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jason K Kim, MD
4414 Lake Boone Trl Ste 505,
Raleigh, NC 27607-7521

Ph: (919) 784-2300
Jason K Kim, MD
4414 Lake Boone Trl,
Raleigh, NC 27607-7513

Ph: (919) 784-2300

Reviews and Comments


Surgery Doctors in Raleigh, NC

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Phone: 919-784-2300    Fax: 919-784-2301
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Phone: 919-350-7331    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.