NPPES file of Aug 9, 2026

Jae K. Kim, M.D.

Anesthesiology Physician · Canton, IL

Jae K. Kim, M.D. is an anesthesiology physician with a practice address in Canton, Illinois, and NPI 1316981491, issued on Jun 16, 2006. Check the license (Illinois 036056328, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1316981491
Name
Jae K. Kim
Credential
M.D.
Primary taxonomy
Anesthesiology Physician 207L00000X
License number
036056328 IL
Self-reported in NPPES; status is on the state search
Practice location
210 W Walnut St, Canton, IL 61520
Phone
(309) 647-5240
Enumerated
Jun 16, 2006
Record last updated
May 4, 2015 (not updated in 11 years: call before relying on the address or phone)
Fax
(309) 647-5104
Medicaid ID
036056328 IL
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 210 W Walnut St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Andrew Bryant, PA-CPhysician Assistant1750753455
  2. Ronald Champagne, M.D.Anatomic Pathology & Clinical Pathology Physician1306884622
  3. David Dean, M.D.Emergency Medicine Physician1477717247
  4. Gerri Delost, CRNACertified Registered Nurse Anesthetist1053480707
  5. Ryan Deushane, CRNACertified Registered Nurse Anesthetist1124482252
  6. Jenna Dively, FNP-CFamily Nurse Practitioner1508747387

Verify Jae K. Kim in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036056328
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

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97% fewer Medicare Part D claims than the average anesthesiology physician in 2024

13 Medicare Part D claims, against an average of 402 among the 4,319 providers of this specialty who prescribed in Part D.

  1. Jae Kim13
  2. Specialty average402

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Jae K. Kim among 2,575 anesthesiology physician records in Illinois

Jae K. Kim, M.D. is one of 2,575 anesthesiology physician records with a practice address in Illinois. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.

  • NPI issued2006 · 6% of these records are older, 61% newer
  • In a Medicare fileYes · 71% of these records are
  • In the CMS Doctors and Clinicians fileNo · 62% of these records are
  • Record last updated2015 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207L00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Anesthesiology Physician providers in Illinois

There are 2,575 anesthesiology physician records in Illinois.

The 8 anesthesiology physician records with the nearest ZIP codes

  1. Keith Ifft, M.D.Canton, IL 615201497723084
  2. Adrienne Williams, M.D.Pekin, IL 615541255382156
  3. Rajan Mullangi, MDMacomb, IL 614551790863801
  4. Myrna ParungaoKewanee, IL 614431831259332
  5. Igor Begovic, MDPeoria, IL 616031659573020
  6. Justin Castonguay, MDPeoria, IL 616051558153312
  7. Justin Ahlman, M.D.Peoria, IL 616141316914328
  8. John Ayres, M.D.Peoria, IL 616141164491114

Common questions

What is Jae K. Kim, M.D.'s NPI number?

Jae K. Kim, M.D.'s National Provider Identifier (NPI) is 1316981491, issued on Jun 16, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Jae K. Kim, M.D. located?

The NPPES record lists a practice address at 210 W Walnut St, Canton, IL, 61520. Phone: (309) 647-5240. Providers update this record themselves, so call before visiting.

How can I verify Jae K. Kim, M.D.'s license?

NPPES lists Illinois license number 036056328, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Jae K. Kim, M.D. prescribe under Medicare Part D?

In 2024, Jae K. Kim, M.D. had 13 Medicare Part D claims; the average among anesthesiology physician prescribers was 402. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.