NPIMap

Individual provider Active NPI

Dong H Kim, M.D.

  • Diagnostic Radiology Physician
  • Dearborn, MI
National Provider Identifier
1083658942
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301054718 Issued in MI
Practice address
840 Oakwood Blvd
Dearborn, MI 48124-2319
Phone
(313) 359-7650
Fax
(313) 359-7660
NPI assigned
Jun 15, 2006
Last updated
Aug 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301054718 MI Primary

Addresses

Primary practice location

840 Oakwood Blvd
Dearborn, MI 48124-2319

Mailing address

PO Box 2802
Dearborn, MI 48123-2929
Phone (313) 359-7650

Other identifiers 1

IdentifierTypeStateIssuer
2583510MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240105002030 SC Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 6305889270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Radiology Associates LLCGroup PAC ID 1658350764, 63 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 467-2676

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
63.77

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Radiology Associates LLC Diagnostic Radiology CurrentSince Nov 24, 2023 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2024 Accepting new patients
Anwarul Haq, MD, PC Current Accepting new patients
Musc Community Physicians Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Oakwood Healthcare Inc Past Accepting new patients
Neurology Care Center PC Past Accepting new patients
Robert C Schwyn MD PC Past Accepting new patients
On-Line Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

Interoperability endpoints

  • Direct secure messaging: dkim221440@direct.hfhs.org
  • Direct secure messaging: dkim85490@directmcleodehealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1083658942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2802",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481232929",
            "telephone_number": "313-359-7650",
            "fax_number": "313-359-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242319",
            "telephone_number": "313-359-7650",
            "fax_number": "313-359-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DONG",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301054718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2583510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.