Active NPI
Andrew S Kim, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Chandler, AZ
National Provider Identifier
1083731426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 35320
- Practice address
- 4913 E Firestone Dr
Chandler, AZ 85249-7395 - Phone
- (480) 656-8935
- Fax
- (480) 656-8935
- NPI assigned
- Mar 22, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35320 | AZ | Primary |
Addresses
Primary practice location
4913 E Firestone Dr
Chandler, AZ 85249-7395
Mailing address
4913 E Firestone Dr
Chandler, AZ 85249-7395
Phone (480) 656-8935
Other names 1
- Dr. Kil S Kim
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Pathologists PA | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Thomas Mulhollan MD PA | Past | Accepting new patients | |
| Aams Pathology Consultants | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083731426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4913 E FIRESTONE DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852497395",
"telephone_number": "480-656-8935",
"fax_number": "480-656-8935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4913 E FIRESTONE DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852497395",
"telephone_number": "480-656-8935",
"fax_number": "480-656-8935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ANDREW",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": "35320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIL",
"last_name": "KIM",
"middle_name": "S",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.