Active NPI
Anna S Kim, M.D.
- Dermatology Physician
- Huntsville, AL
National Provider Identifier
1063869352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD39251
- Practice address
- 2045 Cecil Ashburn Dr SE
Huntsville, AL 35802-2563 - Phone
- (256) 925-3376
- Fax
- (256) 216-4290
- NPI assigned
- May 17, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | ME149913 | FL | |
| Dermatology Physician | 207N00000X | G39107A | GA | |
| Dermatology Physician | 207N00000X | MD39251 | AL | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | G39107A | GA |
Addresses
Primary practice location
2045 Cecil Ashburn Dr SE
Huntsville, AL 35802-2563
Mailing address
2045 Cecil Ashburn Dr SE Ste 201
Huntsville, AL 35802-2564
Phone (256) 925-3376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110609400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Medical College of Georgia School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2045 Cecil Ashburn Dr SE
Suite 201
Huntsville, AL 35802-2564
Phone (256) 925-3376
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 44 |
| Removal of skin lesions | 32 |
| Removal of skin cancer | 125 |
| Skin biopsy | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD39251 | AL | MD | Dermatology Physician |
| G39107A | GA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Dermatology and Skin Specialists, LLC | Dermatology | Current | Accepting new patients |
| Cutaneous Oncology & Surgery Center, LLC | Past | Accepting new patients |
Locations
2045 Cecil Ashburn Dr SE
Ste 201
Huntsville, AL 35802
Phone (256) 881-5874
Interoperability endpoints
- annakim@aadermaffiliates.emadirect.md
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.
-
- Dermatology Physician
- Huntsville, AL
- NPI 1700543618
-
- Ambulatory Surgical Clinic/Center
- Vestavia HLS, AL
- NPI 1699139915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1063869352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2045 CECIL ASHBURN DR SE STE 201",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358022564",
"telephone_number": "256-925-3376",
"fax_number": "256-216-4290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 CECIL ASHBURN DR SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358022563",
"telephone_number": "256-925-3376",
"fax_number": "256-216-4290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ANNA",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "FL",
"license": "ME149913",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "G39107A",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AL",
"license": "MD39251",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "GA",
"license": "G39107A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110609400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.