Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jai Kim, MD

Individual provider Family Medicine Physician · NPI 1407892268

Dr. Jai Kim, MD is a Family Practice in Phoenix, Arizona. Qualified in 1985, 41 years ago. Practices with Summit Medical Group Arizona LLC, a 153-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and New York.

Years since qualifying
41
Licensed in
AZ, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4524 N Maryvale Pkwy Ste 220
Phoenix, AZ 85031
Phone: (238) 463-1866
Fax: (623) 846-3757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4524 N Maryvale Pkwy Ste 220, Phoenix, AZ 85031-1732 — (238) 463-1866
  • 2 Empire Drive Suite 100, Rensselaer, NY 12144 — (518) 286-4899

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 52931 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 233212 (NY)

Record details

NPI number1407892268
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2006
Last updated in NPPESJuly 2, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Summit Medical Group Arizona Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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