Active NPI
Nancy Kim, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- C10006691
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510110596 | Other | DE | BCBS DE |
| 510110596 | Other | DE | COVENTRY |
| 3295888 | Other | DE | AETNA |
| 2230869000 | Other | DE | AMERIHEALTH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4735 Ogletown Stanton Rd
Suite 3302
Newark, DE 19713-2094
Phone (302) 602-7000
Hospital & facility affiliations
- Christiana Hospital
- Chester County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.42 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Spine Center PA | Current | Accepting new patients | |
| Christiana Spine Center PA | Current | Accepting new patients |
Locations
4735 Ogletown Stanton Rd
Ste 3302
Newark, DE 19713
Phone (302) 602-7000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHGGAD
- https://fhir4.healow.com/fhir/r4/IHGGAD/Endpoint/IHGGAD
- 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.
-
- Physical Medicine & Rehabilitation Physician
- Newark, DE
- NPI 1821059387
-
- Diagnostic Ultrasound Physician
- Newark, DE
- NPI 1427536333
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.