Peter S Kim (NPI# 1942250030, PAC ID# 9739192808) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1942250030 |
| PAC ID by PECOS | 9739192808 |
| Professional Enrollment ID | I20060714000073 |
| Full Name | Peter S Kim |
| Organization Legal Name | HSHS MEDICAL GROUP INC |
| Address |
200 Health Care Dr Greenville IL 62246-1154 |
| Phone Number | 6186641230 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1993 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5092857821 |
| Number of Group Practice Members | 376 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140187 | HSHS ST ELIZABETH'S HOSPITAL |
| 141336 | ST JOSEPH'S HOSPITAL |
| 140137 | GREENVILLE REGIONAL HOSPITAL |
| 140046 | SSM HEALTH - GOOD SAMARITAN HOSPITAL |
| 140145 | ST JOSEPHS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 Health Care Dr, Greenville, IL 62246-1154 | 6186641230 | HSHS MEDICAL GROUP INC |
| 12860 Troxler Ave, Highland, IL 62249-2806 | 6186512810 | HSHS MEDICAL GROUP INC |
| 12866 Troxler Ave, Highland, IL 62249-2806 | 6186512600 | HSHS MEDICAL GROUP INC |
| 1512 N Green Mount Rd, O Fallon, IL 62269-2083 | 6186288440 | HSHS MEDICAL GROUP INC |
| 1512 N Green Mount Rd, Suite 108, Ofallon, IL 62269-1953 | 6186245510 | HSHS MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 99% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 2% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 0% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 94% |
| Organization Legal Name | HSHS MEDICAL GROUP INC |
| Physicians | 372 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah L Pulliam | Nurse Practitioner | Hshs Medical Group Inc | 4965 E Lost Bridge Rd, Decatur, IL 62521-5139 |
| Rajinder D Balasuriya | Internal Medicine | Hshs Medical Group Inc | 2801 Mathers Rd, Springfield, IL 62711-7064 |
| Justin Bradley Hill | Family Medicine | Hshs Medical Group Inc | 1116 Hartman Ln, Shiloh, IL 62221-8014 |
| Sahar Yazdani | Family Medicine | Hshs Medical Group Inc | 125 E Plummer Blvd, Chatham, IL 62629-8047 |
| Paula Kay Hubbard | Nurse Practitioner | Hshs Medical Group Inc | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 |
| Melissa Kay Edwards | Nurse Practitioner | Hshs Medical Group Inc | 2965 N Main St E, Hshs Medical Group Internal Medicine N Decatur, Decatur, IL 62526-4392 |
| Judy M Tonry | Nurse Practitioner | Hshs Medical Group Inc | 1118 W Legacy Pointe Dr, Springfield, IL 62711-6444 |
| Mohammed Iyoob Mohammed Ilyas | General Surgery | Hshs Medical Group Inc | 904 Medical Park Dr, Effingham, IL 62401-2193 |
| Imtiaz H Bangash | Internal Medicine | Hshs Medical Group Inc | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 |
| Krystal Gilb | Nurse Practitioner | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Street Address |
200 HEALTH CARE DR |
| City | GREENVILLE |
| State | IL |
| Zip | 62246-1154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Bitzer | Urology | Hshs Medical Group Inc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Steven D Donnan | Certified Registered Nurse Anesthetist (crna) | Hshs Holy Family Hospital Inc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Asim I Elmahboub | Internal Medicine | Cep America-illinois Hospitalists LLP | 200 Health Care Dr, Greenville, IL 62246-1154 |
| John R Willis | Diagnostic Radiology | Mid America Radiology Sc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Prashanth C Shekar | Diagnostic Radiology | Mid America Radiology Sc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Gabriel A Gigliotti | Certified Registered Nurse Anesthetist (crna) | Hshs Holy Family Hospital Inc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Jerrold C Willis | Diagnostic Radiology | Mid America Radiology Sc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Anthony N Sodd | Diagnostic Radiology | Mid America Radiology Sc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Jamie L Baum | Emergency Medicine | Cepamerica Illinois LLP | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Maaroof Islam | Hospitalist | Cep America-illinois Hospitalists LLP | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James R Goggin | Family Medicine | Fayette County Hospital District | 308 W College Ave, Greenville, IL 62246-1019 |
| Andrew S Goggin | Family Medicine | Fayette County Hospital District | 308 W College Ave, Greenville, IL 62246-1019 |
| Vaughn L Robart | Clinical Social Worker | Jubilee House Outreach | 417 W College Ave, Greenville, IL 62246-1020 |
| Melanie C Schaafsma | Clinical Social Worker | Jubilee House Outreach | 417 W College Ave, Greenville, IL 62246-1020 |
| Lisa L Tindall | Nurse Practitioner | Specialized Wound Management LLC | 200 Healthcare Dr, Edward A Utlaut Mem, Greenville, IL 62246-1154 |
| Jennifer Helmholt | Nurse Practitioner | Cep America-illinois Hospitalists LLP | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Christopher Frantz | Emergency Medicine | Cepamerica Illinois LLP | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Timothy Joseph Carmody | Interventional Radiology | Mid America Radiology Sc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Richard G. Mccollum | Emergency Medicine | Cepamerica Illinois LLP | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Anthony M Newell | Emergency Medicine | Cepamerica Illinois LLP | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Find all physicians in zip 62246 | |||
| City | GREENVILLE |
| Zip Code | 62246 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | GREENVILLE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Peter S Kim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.