Individual provider

Jisoo Kim

Surgery Physician Medicare enrolled

Jisoo Kim is a Surgery Physician in Greenville, NC, registered under NPI 1154819878.

Getting there

The practice address on file is 517 MOYE BLVD, Greenville, NC 27834. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

517 MOYE BLVD, Greenville, NC 27834 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2022-02860 NC Surgery Physician primary

This provider holds licence 2022-02860 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - General Surgery
PAC ID
2769840529
Enrollment ID
I20230627000322

Medicare enrolment is recorded as approved under the provider type Practitioner - General Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Surgery covers

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. NUCC Health Care Provider Taxonomy, code 208600000X
Allopathic & Osteopathic Physicians Surgery

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1154819878 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 27, 2018
Last updatedSep 24, 2024
StatusActive
Sole proprietorNo
GenderMale
Practice address 517 MOYE BLVD
Greenville, NC 27834
(252) 744-2393
Fax (252) 744-0013
Mailing address PO BOX 751069
Charlotte, NC 28275
This record was updated on Sep 24, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1154819878 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 5 4 8 1 9 8 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 1 4 7 1 9 8 5

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1154819878?
NPI 1154819878 is the National Provider Identifier assigned to Jisoo Kim in Greenville, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Surgery Physician cover?
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical…
How do I contact Jisoo Kim?
The phone number on file with NPPES is (252) 744-2393, last updated Sep 24, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jisoo Kim accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1154819878 a valid number?
Yes. 1154819878 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.