Individual provider Active NPI

Elijah Kim, M.D.

  • Surgical Critical Care Physician
  • Sarasota, FL
National Provider Identifier
1003045097
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
ME152670 Issued in FL
Practice address
1700 S Tamiami TRL
Sarasota, FL 34239-3555
Phone
(941) 917-9000
NPI assigned
Jul 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME152670 FL
Surgery Physician 208600000X 52389 TN
Surgery Physician 208600000X 036-143764 IL
Surgical Critical Care Physician 2086S0102X 036-143764 IL
Surgical Critical Care Physician 2086S0102X 52389 TN
Trauma Surgery Physician 2086S0127X 87843 GA
Trauma Surgery Physician 2086S0127X 036-143764 IL
Surgical Critical Care Physician 2086S0102X ME152670 FL Primary

Addresses

Primary practice location

1700 S Tamiami TRL
Sarasota, FL 34239-3555

Mailing address

1700 S Tamiami TRL
Sarasota, FL 34239-3555
Phone (941) 917-7000

Other practice location 1

1500 SW 1st Ave
Ocala, FL 34471-6516
Phone (407) 303-7283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, ND, OK, NJ, GA, FL, NY8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20151103000186 TN Practitioner - General Surgery 0840500906 Reassigns benefits to 2 organizations
I20170728000220 MS Practitioner - Critical Care (Intensivists) 0840500906 Reassigns benefits to 1 organization
I20190827003847 ND Practitioner - Critical Care (Intensivists) 0840500906 Reassigns benefits to 1 organization
I20191011000051 OK Practitioner - General Surgery 0840500906 Reassigns benefits to 1 organization
I20201215003429 NJ Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 0840500906 Reassigns benefits to 2 organizations
I20210427002705 GA Practitioner - Critical Care (Intensivists) 0840500906 Reassigns benefits to 3 organizations
I20211006000335 FL Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 0840500906 Reassigns benefits to 5 organizations
I20211018002555 NY Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 0840500906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwinnett Physician Group, LLCGroup PAC ID 9133211139, 112 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-4321

173 Mineola Blvd
Suite 401
Mineola, NY 11501-2555
Phone (516) 663-1145

1921 Waldemere St
Suite 504
Sarasota, FL 34239-2941
Phone (941) 917-1579

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME152670FLMDCritical Care Medicine (Internal Medicine) Physician
036-143764ILMDSurgery Physician
52389TNMDSurgery Physician
304467NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Oct 1, 2019 Accepting new patients
St. Alexius Medical Center CurrentSince Jul 8, 2019 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince May 1, 2023 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jul 1, 2018 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Feb 1, 2023 Accepting new patients
Lakeland Regional Health Systems, Inc. Surgical Critical Care CurrentSince Apr 1, 2022 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Mar 15, 2025 Accepting new patients
New York University CurrentSince Oct 6, 2021 Accepting new patients
Maury Regional Medical Group, Inc CurrentSince Mar 1, 2022 Accepting new patients
Nchmd Inc CurrentSince Feb 13, 2024 Accepting new patients
Nchmd, Inc CurrentSince Feb 13, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Surgical Critical Care CurrentSince Feb 1, 2023 Accepting new patients
Sheridan Healthcorp, Inc CurrentSince May 1, 2023 Accepting new patients
SMH Physician Services Inc CurrentSince Sep 5, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 3, 2023 Accepting new patients
Sheridan Healthcorp Inc Current Accepting new patients
Baptist Memorial Medical Group Inc Surgery CurrentSince Jul 1, 2018 Accepting new patients
Maury Regional Hospital Marshall Medical Center CurrentSince Mar 1, 2022 Accepting new patients
Practice Associates Medical Group CurrentSince Dec 1, 2020 Accepting new patients
New York University Surgery CurrentSince Oct 6, 2021 Accepting new patients
Florida Hospital Medical Group Inc Surgery CurrentSince Jul 3, 2023 Accepting new patients
St Alexius Medical Center CurrentSince Jul 8, 2019 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Cherokee Health Systems Current Accepting new patients
Family Health Group Inc Past Accepting new patients
Gwinnett Medical Group, Inc Surgery Past Accepting new patients
Memphis Lung Physicians, P.C. Past Accepting new patients
SMH Physician Services Inc Past Accepting new patients

Locations (25 of 39)

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

1921 Waldemere St
Ste 504
Sarasota, FL 34239
Phone (941) 917-1579

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

3100 E Fletcher Ave
#C
Tampa, FL 33613

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

97 W Parkway
Fl 2
Pompton Plains, NJ 07444
Phone (908) 598-6610

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: ekim479140@nyumc.direct-ci.com
  • Direct secure messaging: elkim@yourcarecommunity.org
  • Direct secure messaging: elijah.kim.2@28977.direct.athenahealth.com
  • Direct secure messaging: ekim883993@adventhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 30

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 30

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1003045097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393555",
            "telephone_number": "941-917-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393555",
            "telephone_number": "941-917-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 SW 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344716516",
            "country_code": "US",
            "telephone_number": "407-303-7283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "ELIJAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME152670",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "52389",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-143764",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IL",
            "license": "036-143764",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TN",
            "license": "52389",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "GA",
            "license": "87843",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "IL",
            "license": "036-143764",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "ME152670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.