Individual provider Active NPI

David H Kim, M.D.

  • Radiation Oncology Physician
  • Indianapolis, IN
National Provider Identifier
1043283401
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
01057249A Issued in IN
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

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01MedicaidIL
200419910MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817000359 IN Practitioner - Radiation Oncology 9436122587 Reassigns benefits to 3 organizations

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
Cancer Care Group PCGroup PAC ID 1850295858, 21 clinicians

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

LicenseStateTypeSpecialty
01057249AINMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Group P.C. Radiation Oncology CurrentSince Nov 1, 2025 Accepting new patients
St. Mary'S Health, Inc Radiation Oncology CurrentSince Jun 9, 2025 Accepting new patients
Cancer Care Group, P.C. Radiation Oncology CurrentSince Nov 1, 2025 Accepting new patients
Parkview Logansport Hospital, Inc. CurrentSince Sep 13, 2021 Accepting new patients
St. Mary'S Health, Inc Current Accepting new patients
Parkview Logansport Hospital, Inc. CurrentSince Sep 13, 2021 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.