Individual provider Active NPI

Joseph Hill Kim, D.O.

  • Family Medicine Physician
  • Laurel, DE
National Provider Identifier
1114965167
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C20007390 Issued in DE
Practice address
30549 Sussex Hwy
Laurel, DE 19956-3891
Phone
(302) 875-2127
Fax
(302) 875-5091
NPI assigned
Jun 3, 2006
Last updated
Mar 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C20007390 DE Primary

Addresses

Primary practice location

30549 Sussex Hwy
Laurel, DE 19956-3891

Mailing address

30549 Sussex Hwy
Laurel, DE 19956-3891
Phone (302) 875-2127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20060323000138 DE Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Family Practice 6103834882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Physician Network, Inc.Group PAC ID 7315901253, 115 clinicians

Practice addresses (Care Compare)

Seaford, DE 19973
Phone 30262966118802

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C20007390DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group, Delaware, Inc CurrentSince Dec 6, 2022 Accepting new patients
Tidalhealth Physician Network, Inc. Family Medicine CurrentSince Nov 10, 2007 Accepting new patients
Tidalhealth Nanticoke, Inc Family Medicine Past Accepting new patients
Curtis a. Smith, D.O. Family Medicine Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

640 S State St
Dover, DE 19901
Phone (302) 744-4700

30549 Sussex Hwy
Laurel, DE 19956
Phone (302) 715-5214

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

Organizations & group practices 4

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 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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1114965167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30549 SUSSEX HWY",
            "city": "LAUREL",
            "state": "DE",
            "postal_code": "199563891",
            "telephone_number": "302-875-2127",
            "fax_number": "302-875-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30549 SUSSEX HWY",
            "city": "LAUREL",
            "state": "DE",
            "postal_code": "199563891",
            "telephone_number": "302-875-2127",
            "fax_number": "302-875-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOSEPH",
        "middle_name": "HILL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C20007390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, DE

Sources for this page

Verify at the official NPI Registry.