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NPI · 1790489102 · NPPES-sourced

Noah Kim

ActivePhysician Assistant
NPI Number
1790489102
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(847) 816-7495
License IL · 085009901
Last Updated
About 11 months ago (Jun 2025)
Enumerated 2023-03-29
Primary practice addressIL · 60048-3100
890 Garfield Ave Ste 206Libertyville, IL 60048-3100
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About this NPIWhat this record shows.

NPI 1790489102 is registered to Noah Kim, a Physician Assistant practising at 890 Garfield Ave Ste 206 in Libertyville, Illinois. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Noah Kim has been enumerated in the National Provider Identifier (NPI) registry since 2023.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2023-03-29
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Noah Kim accepts. To confirm in-network status with your specific health plan, contact Noah Kim directly at (847) 816-7495.

Frequently asked

Yes. NPI 1790489102 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (847) 816-7495.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Noah Kim is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated2025-06
Enumerated2023-03-29
StatusActive
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