Individual provider Active NPI

Joon Hyung Kim, DPM

  • Foot & Ankle Surgery Podiatrist
  • Miami Beach, FL
National Provider Identifier
1033791017
Registry record updated Jul 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4436 Issued in FL
Practice address
4302 Alton Rd Ste 470
Miami Beach, FL 33140-2842
Phone
(352) 262-7073
Fax
(786) 526-2990
NPI assigned
Apr 28, 2021
Last updated
Jul 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO4436 FL Primary

Addresses

Primary practice location

4302 Alton Rd Ste 470
Miami Beach, FL 33140-2842

Mailing address

18104 NW 29TH CT
Miami Gardens, FL 33056-3267
Phone (352) 262-7073

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.msmc.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, SC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240824000284 FL Practitioner - Podiatry 6002355815 Reassigns benefits to 1 organization
I20260120000746 GA Practitioner - Podiatry 6002355815 Reassigns benefits to 1 organization
I20260120003420 SC Practitioner - Podiatry 6002355815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Footcare, LLCGroup PAC ID 4587748652, 27 clinicians

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

1519 Laney Walker Blvd
Augusta, GA 30904-5827
Phone (803) 508-7517

18104 NW 29TH CT
Miami Gardens, FL 33056-3267
Phone (352) 262-7073

6 Barnette Dr
Sumter, SC 29150-8004
Phone (803) 256-6776

80 Physician Dr
Aiken, SC 29801-6388
Phone (803) 508-7517

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36
Removal of nail tissue158
Removal or shaving of skin growth50
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4436FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Footcare, LLC Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Joon H Kim, DPM, P.a. Single Specialty CurrentSince Nov 5, 2024 Accepting new patients

Locations

1519 Laney Walker Blvd
Augusta, GA 30904
Phone (706) 724-7000

6 Barnette Dr
Sumter, SC 29150
Phone (803) 773-3391

Interoperability endpoints

  • Direct secure messaging: joon.kim.1@27654.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 3

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": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753488000000",
    "number": "1033791017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18104 NW 29TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563267",
            "telephone_number": "352-262-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 470",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402842",
            "telephone_number": "352-262-7073",
            "fax_number": "786-526-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOON HYUNG",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.msmc.com/",
            "affiliation": "N",
            "address_1": "4300 Alton Rd",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331402948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.