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

Jason K Kim, MD

Individual provider Surgery Physician · NPI 1376733873

Jason K Kim, MD is a Vascular Surgery in Raleigh, North Carolina. Graduated from Medical College of Georgia School of Medicine in 2002, 24 years ago. Practices with North Carolina Nephrology PA, a 58-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and New York.

Years since qualifying
24
Trained at
Medical College of Georgia School of Medicine
Licensed in
NC, NY
In the registry since
2007
Specialties on file
3
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

4414 Lake Boone Trl
Raleigh, NC 27607-7513
Phone: (919) 784-2300
Fax: (919) 784-2301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4414 Lake Boone Trl Ste 505, Raleigh, NC 27607-7521 — (919) 784-2300

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 2012-02076 (NC)
Surgery Physician Taxonomy 208600000X · Licence 2012-02076 (NC)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 252638 (NY)

Record details

NPI number1376733873
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2007
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice North Carolina Nephrology Pa — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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