Individual provider Active NPI

Edward M. Kim, M.D.

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1023301801
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD32579 Issued in AL
Practice address
833 Saint Vincents Dr
Suite 300 Pob III
Birmingham, AL 35205-1606
Phone
(205) 939-4500
Fax
(205) 939-4519
NPI assigned
May 26, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD32579 AL Primary

Addresses

Primary practice location

833 Saint Vincents Dr
Suite 300 Pob III
Birmingham, AL 35205-1606

Mailing address

833 St Vincent'S Drive
Suite 300 Pob III
Birmingham, AL 35205-1606
Phone (205) 939-4500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edwardkim@southviewm.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20141015002214 AL Practitioner - Internal Medicine 2466696729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southview Medical Group, PCGroup PAC ID 8729979794, 40 clinicians

Practice addresses (Care Compare)

833 Saint Vincents Dr
Suite 300
Birmingham, AL 35205-1612
Phone (205) 933-4640

833 St Vincents Dr
Suite 502
Birmingham, AL 35205-1613
Phone (205) 933-4400

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
  • St Vincent'S Birmingham Hospital, Birmingham, AL, CCN 010056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD32579ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southview Medical Group, PC Internal Medicine CurrentSince Sep 2, 2014 Accepting new patients
Uab Southview LLC Internal Medicine Past Accepting new patients

Locations

833 Saint Vincents Dr
Ste 300
Birmingham, AL 35205
Phone (205) 933-4640

833 Saint Vincents Dr
Ste 502
Birmingham, AL 35205
Phone (205) 933-4400

Interoperability endpoints

  • Direct secure messaging: edwardkim@southviewm.allscriptsdirect.net

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": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1023301801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 ST VINCENT'S DRIVE",
            "address_2": "SUITE 300 POB III",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051606",
            "telephone_number": "205-939-4500",
            "fax_number": "205-939-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR",
            "address_2": "SUITE 300 POB III",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051606",
            "telephone_number": "205-939-4500",
            "fax_number": "205-939-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EDWARD",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD32579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edwardkim@southviewm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "833 Saint Vincents Dr",
            "address_2": "Suite 300 POB III",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352051606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.