Active NPI
Elijah Kim, M.D.
- Surgical Critical Care Physician
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- ME152670
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
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
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
- Long Island Community Hospital
- Northside Hospital Gwinnett
- Adventhealth Port Charlotte
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME152670 | FL | MD | Critical Care Medicine (Internal Medicine) Physician |
| 036-143764 | IL | MD | Surgery Physician |
| 52389 | TN | MD | Surgery Physician |
| 304467 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren Clinic Inc | Current | Accepting new patients | |
| St. Alexius Medical Center | Current | Accepting new patients | |
| Sheridan Healthcorp, Inc. | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Lakeland Regional Health Systems, Inc. | Surgical Critical Care | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Maury Regional Medical Group, Inc | Current | Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients | |
| Nchmd, Inc | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Surgical Critical Care | Current | Accepting new patients |
| Sheridan Healthcorp, Inc | Current | Accepting new patients | |
| SMH Physician Services Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Surgery | Current | Accepting new patients |
| Maury Regional Hospital Marshall Medical Center | Current | Accepting new patients | |
| Practice Associates Medical Group | Current | Accepting new patients | |
| New York University | Surgery | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Surgery | Current | Accepting new patients |
| St Alexius Medical Center | Current | 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
- ekim479140@nyumc.direct-ci.com
- elkim@yourcarecommunity.org
- elijah.kim.2@28977.direct.athenahealth.com
- ekim883993@adventhealth.direct-ci.com
- 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.
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
-
- Internal Medicine Physician
- Lawrenceville, GA
- NPI 1578574661
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
Surgical Critical Care
-
- Hematology & Oncology Physician
- Naples, FL
- NPI 1831120195
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
MS, Surgery
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Family Medicine Physician
- Columbia, TN
- NPI 1205886264
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
-
- Specialist
- Bismarck, ND
- NPI 1205868429
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1760299093
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
-
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Patchogue, NY
- NPI 1013724061
Hospital
-
- General Acute Care Hospital
- Patchogue, NY
- NPI 1831910355
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.