Active NPI
David H Kim, M.D.
- Radiation Oncology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 01057249A
- Practice address
- 6100 W 96TH St Ste 125
Indianapolis, IN 46278-6006 - Phone
- (317) 715-1800
- Fax
- (317) 715-6200
- NPI assigned
- Feb 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 01057249A | IN | Primary |
Addresses
Primary practice location
6100 W 96TH St Ste 125
Indianapolis, IN 46278-6006
Mailing address
6100 W 96TH St Ste 125
Indianapolis, IN 46278-6006
Phone (317) 715-1800
Other practice location 1
3699 Epworth Rd
Newburgh, IN 47630-8909
Phone (812) 471-1200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01 | Medicaid | IL | |
| 200419910 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Radiation Oncology
- Education
- Yale University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1425 Unity PL
Lafayette, IN 47905-5756
Phone (765) 447-7460
1701 S Creasy LN
Lafayette, IN 47905-4972
Phone (765) 446-5417
1710 Lafayette Rd
Crawfordsville, IN 47933-1033
Phone (765) 361-3000
2455 Intelliplex Dr
Shelbyville, IN 46176-8535
Phone (317) 421-1800
8111 S Emerson Ave
Franciscan Health Hospital
Indianapolis, IN 46237-8601
Phone (317) 865-5171
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01057249A | IN | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Care Group P.C. | Radiation Oncology | Current | Accepting new patients |
| St. Mary'S Health, Inc | Radiation Oncology | Current | Accepting new patients |
| Cancer Care Group, P.C. | Radiation Oncology | Current | Accepting new patients |
| Parkview Logansport Hospital, Inc. | Current | Accepting new patients | |
| St. Mary'S Health, Inc | Current | Accepting new patients | |
| Parkview Logansport Hospital, Inc. | Current | Accepting new patients | |
| Cancer Care Group, P.C. | Radiation Oncology | Past | Accepting new patients |
Locations
5927 Reliable Pkwy
Chicago, IL 60686
1706 Lafayette Rd
Crawfordsville, IN 47933
Phone (765) 361-3000
801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077
6100 W 96th St
Ste 125
Indianapolis, IN 46278
Phone (317) 715-1803
1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
1025 Michigan Ave
Ste 15
Logansport, IN 46947
Phone (574) 753-9000
3699 Epworth Rd
Newburgh, IN 47630
Phone (812) 471-1200
2455 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 421-1800
Organizations & group practices 8
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.
-
- Radiation Oncology Physician
- Indianapolis, IN
- NPI 1659491132
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1497706287
-
- Family Medicine Physician
- Evansville, IN
- NPI 1164852539
-
- Radiation Oncology Physician
- Batesville, IN
- NPI 1679981336
-
- Rural Health Clinic/Center
- Peru, IN
- NPI 1770248015
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1942317656
-
- Hematology & Oncology Physician
- Newburgh, IN
- NPI 1952101214
Radiation Oncology
-
- Radiation Oncology Physician
- Columbus, IN
- NPI 1124079850
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crawfordsville, IN
- NPI 1588774558
-
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1356320469
-
- Critical Access Hospital
- Wabash, IN
- NPI 1245259878
-
- Critical Access Hospital
- Winamac, IN
- NPI 1306928213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1043283401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 W 96TH ST STE 125",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462786006",
"telephone_number": "317-715-1800",
"fax_number": "317-715-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 W 96TH ST STE 125",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462786006",
"telephone_number": "317-715-1800",
"fax_number": "317-715-6200"
}
],
"practiceLocations": [
{
"address_1": "3699 Epworth Rd",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476308909",
"country_code": "US",
"telephone_number": "812-471-1200",
"fax_number": "812-475-6700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "DAVID",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IN",
"license": "01057249A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200419910",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.