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

Hack Jae Kim, MD

Individual provider Gastroenterology Physician · NPI 1588647044

Hack Jae Kim, MD is a Gastroenterology in Gilbert, Arizona. Graduated from Creighton University School of Medicine in 1997, 29 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
29
Trained at
Creighton University School of Medicine
Licensed in
AZ
In the registry since
2005
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

2680 S Val Vista Dr Ste 116
Gilbert, AZ 85295-2154
Phone: (480) 507-5678
Fax: (480) 507-5677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 32877 (AZ)
Hepatology Physician Taxonomy 207RI0008X · Licence 32877 (AZ)

Record details

NPI number1588647044
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 29, 2005
Last updated in NPPESMarch 7, 2014
Mailing address3707 N 7th St Ste 200, Phoenix, AZ 85014-5095

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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