Individual provider Active NPI

Nancy Kim, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Newark, DE
National Provider Identifier
1003877580
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
C10006691 Issued in DE
Practice address
4735 Ogletown-Stanton Rd
Suite 3302
Newark, DE 19713
Phone
(302) 623-4144
Fax
(602) 623-4147
NPI assigned
Apr 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X C10006691 DE Primary

Addresses

Primary practice location

4735 Ogletown-Stanton Rd
Suite 3302
Newark, DE 19713

Mailing address

4735 Ogletown-Stanton Rd
Suite 3302
Newark, DE 19713
Phone (302) 623-4144

Other identifiers 4

IdentifierTypeStateIssuer
510110596OtherDEBCBS DE
510110596OtherDECOVENTRY
3295888OtherDEAETNA
2230869000OtherDEAMERIHEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110217000063 DE Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 5092867713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Albert Einstein College of Medicine of Yeshiva University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Spine Center PAGroup PAC ID 6305862848, 14 clinicians

Practice addresses (Care Compare)

4735 Ogletown Stanton Rd
Suite 3302
Newark, DE 19713-2094
Phone (302) 602-7000

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

Merit-based Incentive Payment System (MIPS)

Final score
88.42 of 100Reported as group
Quality
95.48
Improvement activities
40
Cost
67.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Spine Center PA CurrentSince Aug 18, 2003 Accepting new patients
Christiana Spine Center PA CurrentSince Aug 18, 2003 Accepting new patients

Locations

4735 Ogletown Stanton Rd
Ste 3302
Newark, DE 19713
Phone (302) 602-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHGGAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHGGAD/Endpoint/IHGGAD
  • Direct secure messaging: nancy.kim@cscpa.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1003877580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN-STANTON RD",
            "address_2": "SUITE 3302",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-623-4144",
            "fax_number": "602-623-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN-STANTON RD",
            "address_2": "SUITE 3302",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-623-4144",
            "fax_number": "602-623-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "NANCY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-01",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "DE",
            "license": "C10006691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DE",
            "identifier": "510110596",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "510110596",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3295888",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2230869000",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.