Individual provider Active NPI

Gordon Young Kim, D. O.

  • Gastroenterology Physician
  • Columbus, OH
National Provider Identifier
1144260076
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
34007152 Issued in OH
Practice address
700 E Broad St
Columbus, OH 43215-3946
Phone
(614) 458-1183
Fax
(614) 458-1184
NPI assigned
Jun 8, 2006
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 34007152 OH Primary

Addresses

Primary practice location

700 E Broad St
Columbus, OH 43215-3946

Mailing address

700 Ackerman Rd
Suite 385
Columbus, OH 43202-1559
Phone (614) 947-3700

Other practice location 1

111 S Grant Ave
Columbus, OH 43215-4701
Phone (614) 566-9550

Other identifiers 1

IdentifierTypeStateIssuer
2197948MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gkim21905@direct.ohiohealth.com OhioHealth Physician Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040618000143 OH Practitioner - Gastroenterology 1850375536 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Digestive Associates of OhioGroup PAC ID 3173651510, 5 clinicians

Practice addresses (Care Compare)

5300 N Meadows Dr
Grove City, OH 43123-2546
Phone (614) 663-3877

700 E Broad St
FL 2
Columbus, OH 43215-3946
Phone (614) 458-1183

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy116
Upper gastrointestinal (GI) endoscopy for acid reflux97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34007152OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Two LLC CurrentSince May 5, 2025 Accepting new patients
Ohiohealth Corporation CurrentSince May 1, 2025 Accepting new patients
Grant Scope Center, LLC CurrentSince Jan 5, 2009 Accepting new patients
Ohiohealth Corporation CurrentSince May 1, 2025 Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince May 5, 2025 Accepting new patients
Digestive Associates of Ohio Gastroenterology CurrentSince Apr 8, 2010 Accepting new patients
Ohiohealth Corporation Gastroenterology Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Osu Internal Medicine, LLC Past Accepting new patients
Westerville Endoscopy Center LLC PastSince Jan 12, 2020 Accepting new patients

Locations

11925 Lithopolis Rd NW
Canal Wnchstr, OH 43110
Phone (614) 759-6626

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

700 E Broad St
Columbus, OH 43215
Phone (614) 224-1090

700 E Broad St
Fl 2
Columbus, OH 43215
Phone (614) 577-1077

Dept L3652
Columbus, OH 43260

L3339
Columbus, OH 43260

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

300 Polaris Pkwy
Ste 1500
Westerville, OH 43082
Phone (614) 568-1666

Interoperability endpoints

  • Direct secure messaging: gkim4201400@direct.trinity-health.org

Organizations & group practices 10

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 5

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1144260076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD",
            "address_2": "SUITE 385",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-947-3700",
            "fax_number": "614-947-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153946",
            "telephone_number": "614-458-1183",
            "fax_number": "614-458-1184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154701",
            "country_code": "US",
            "telephone_number": "614-566-9550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "GORDON",
        "middle_name": "YOUNG",
        "credential": "D. O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "34007152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2197948",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gkim21905@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "111 S Grant Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432154701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.