NPIMap

Individual provider Active NPI

David K Kim, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Dublin, OH
National Provider Identifier
1063529212
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
35.076545 Issued in OH
Practice address
6785 Bobcat Way Ste 300
Dublin, OH 43016-1443
Phone
(614) 890-6555
Fax
(614) 823-8881
NPI assigned
Aug 24, 2006
Last updated
Nov 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 35.076545 OH Primary

Addresses

Primary practice location

6785 Bobcat Way Ste 300
Dublin, OH 43016-1443

Mailing address

70 S Cleveland Ave
Westerville, OH 43081-1397
Phone (614) 839-2128

Other identifiers 1

IdentifierTypeStateIssuer
2120565MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040601000055 OH Practitioner - Orthopedic Surgery 1355322769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Rochester School of Medicine and Dentistry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6785 Bobcat Way
Suite 300
Dublin, OH 43016-1443
Phone (614) 890-6555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion46
Laminectomy or laminotomy (partial removal of spine bones)27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.076545OHMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Neurological Consultants, Inc. Orthopaedic Surgery of the Spine CurrentSince Jul 14, 2014 Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD CurrentSince Aug 1, 2022 Accepting new patients
Orthopedic & Neurological Consultants, Inc CurrentSince Jul 14, 2014 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD Orthopaedic Surgery of the Spine CurrentSince Aug 1, 2022 Accepting new patients
David K Kim, M.D.,LLC Orthopaedic Surgery of the Spine PastSince Jul 1, 2001 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Joint Implant Surgeons, Inc. Past Accepting new patients
South Florida Orthopaedics & Sports Medicine,PA Past Accepting new patients
South Florida Orthopaedics & Sports Medicine, PA Orthopaedic Surgery of the Spine Past Accepting new patients

Locations

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

1313 Olentangy River Rd
Columbus, OH 43212
Phone (614) 221-3725

L 3973
Columbus, OH 43260

6770 Avery Muirfield Dr
Dublin, OH 43017
Phone (614) 566-4160

6785 Bobcat Way
Ste 300
Dublin, OH 43016

5040 Forest Dr
New Albany, OH 43054
Phone (614) 546-4300

1030 Refugee Rd
Ste 180
Pickerington, OH 43147

70 S Cleveland Ave
Westerville, OH 43081
Phone (614) 839-3275

Interoperability endpoints

  • Direct secure messaging: david.kim.p1@direct.beaconortho.nextgenshare.com
  • Direct secure messaging: dkim@orthon1642.srs-direct.com
  • Direct secure messaging: dkim1266956@direct.trinity-health.org

Organizations & group practices 9

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 5

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1063529212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S CLEVELAND AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811397",
            "telephone_number": "614-839-2128",
            "fax_number": "614-790-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6785 BOBCAT WAY STE 300",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430161443",
            "telephone_number": "614-890-6555",
            "fax_number": "614-823-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAVID",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "OH",
            "license": "35.076545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2120565",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.