Individual provider Active NPI

Paul K. Kim, MD

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1104088715
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
41485 Issued in AZ
Practice address
4530 E Muirwood Dr
#105
Phoenix, AZ 85048-7639
Phone
(480) 961-2303
Fax
(480) 961-2306
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 41485 AZ Primary
Hospitalist Physician 208M00000X 41485 AZ

Addresses

Primary practice location

4530 E Muirwood Dr
#105
Phoenix, AZ 85048-7639

Mailing address

4530 E Muirwood Dr
#105
Phoenix, AZ 85048-7639
Phone (480) 961-2303

Other identifiers 1

IdentifierTypeStateIssuer
466214MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20091020000675 AZ Practitioner - Internal MedicinePractitioner - Other (Physician) 7012054216 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zion Medical Group PLLCGroup PAC ID 1355566464, 34 clinicians
Scottsdale Inpatient Specialists PLCGroup PAC ID 4385021526, 35 clinicians

Practice addresses (Care Compare)

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-3000

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Merit-based Incentive Payment System (MIPS)

Final score
67.01 of 100Reported as individual
Quality
72.86
Improvement activities
0
Cost
73.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41485AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aia Hospitalists LLC Internal Medicine CurrentSince Dec 1, 2015 Accepting new patients
Scottsdale Inpatient Specialists, PLC Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Dvma, LLC Internal Medicine CurrentSince Jun 1, 2015 Accepting new patients
Zion Medical Group PLLC Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Honorhealth Past Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

5620 W Thunderbird Rd
Ste E5
Glendale, AZ 85306
Phone (480) 805-8855

7300 N 99th Ave
Glendale, AZ 85307
Phone (480) 339-5001

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

4530 E Muirwood Dr
Ste 105
Phoenix, AZ 85048
Phone (480) 961-2303

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

Organizations & group practices 7

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1104088715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 E MUIRWOOD DR",
            "address_2": "#105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487639",
            "telephone_number": "480-961-2303",
            "fax_number": "480-961-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E MUIRWOOD DR",
            "address_2": "#105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487639",
            "telephone_number": "480-961-2303",
            "fax_number": "480-961-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "PAUL",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "41485",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "41485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "466214",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.