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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jae Suk Kim, MD

Pediatrics Physician in St Clair Shores, MI · enumerated 2006 · practices at Eastside Podiatry Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790899755

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Registry record

Entity type Individual (Type 1)
Name Jae Suk Kim
Credential MD
Sex Male
Practice address 24025 Greater Mack, Suite 103, St Clair Shores, MI, 48080
Phone (586) 777-8280
Fax (586) 777-8688
Enumeration date Aug 18, 2006
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 4301033045 (MI) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
1947637 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Jae Kim?
Jae Kim is registered in NPPES with the primary taxonomy of Pediatrics Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.