David Jiwoong Kim, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

39252 Issued in AL

Practice address

2006 Franklin St SE Ste 200
Huntsville, AL 35801-4537

Phone

(256) 539-0457

Fax

(256) 539-5827

NPI assigned

May 20, 2014

Last updated

Feb 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 12

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

University of Alabama School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Urology Associates, P.C.Group PAC ID 0749254241, 12 clinicians

Radiology of Hunstville PCGroup PAC ID 2567458359, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
• Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131

Merit-based Incentive Payment System (MIPS)

Final score

82.44 of 100Reported as group

Quality

100

Improvement activities

40

Cost

41.46

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Radiology of Hunstville PC

  • Diagnostic Radiology Physician
  • Huntsville, AL
  • NPI 1588621296
  Medicare reassignment Care Compare group NPD
• Clinical Urology Associates, P.C.

  • Urology Physician
  • Gadsden, AL
  • NPI 1952369860
  Medicare reassignment Care Compare group
• Diagnostic Health MRI of Gadsden, LLC

  dba Outpatient Diagnostic Center of Madison

  • Radiology Clinic/Center
  • Madison, AL
  • NPI 1003151671

  Diagnostic Radiology

  Medicare reassignment NPD
• Diagnostic Health MRI of Gadsden, LLC

  dba Outpatient Diagnostic Center of Athens

  • Radiology Clinic/Center
  • Athens, AL
  • NPI 1407247943

  Diagnostic Radiology

  Medicare reassignment NPD
• Diagnostic Health MRI of Gadsden, LLC

  dba Outpatient Diagnostic Center of Huntsville

  • Radiology Clinic/Center
  • Huntsville, AL
  • NPI 1811945306

  Diagnostic Radiology

  Medicare reassignment NPD
• Insight Imaging, Inc

  dba The Center of Imaging Excellence

  • Diagnostic Radiology Physician
  • Huntsville, AL
  • NPI 1497713382
  Medicare reassignment NPD
• Diagnostic Health MRI of Gadsden, LLC

  • Radiology Clinic/Center
  • Decatur, AL
  • NPI 1851056188

  Diagnostic Radiology

  NPD
• Baptist Health System, Inc.

  dba Medical Education Faculty

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1598711616
  NPD (past)
• Baptist Health System, Inc.

  • Internal Medicine Physician
  • Irondale, AL
  • NPI 1821031824
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crestwood Healthcare LP

  dba Crestwood Medical Center

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1023061496
  Care Compare affiliation
• The Health Care Authority of the City of Huntsville

  dba Huntsville Hospital

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1154733517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 FRANKLIN ST SE STE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014537",
            "telephone_number": "256-539-0457",
            "fax_number": "256-539-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 FRANKLIN ST SE STE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
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            "telephone_number": "256-539-0457",
            "fax_number": "256-539-5827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Dr SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358016455",
            "country_code": "US",
            "telephone_number": "256-539-0457 x146",
            "fax_number": "256-539-5827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 Whitesburg Dr SE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014543",
            "country_code": "US",
            "telephone_number": "256-539-0457 x146",
            "fax_number": "256-539-5827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Sivley Rd SW",
            "address_purpose": "LOCATION",
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            "state": "AL",
            "postal_code": "358014470",
            "country_code": "US",
            "telephone_number": "256-539-0457 x146",
            "fax_number": "256-539-5827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W Market St",
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            "city": "Athens",
            "state": "AL",
            "postal_code": "356112457",
            "country_code": "US",
            "telephone_number": "256-539-0457 x146",
            "fax_number": "256-539-5827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Saint Clair Ave SE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014343",
            "country_code": "US",
            "telephone_number": "256-539-0457 x146",
            "fax_number": "256-539-5827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W Market St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "AL",
            "postal_code": "356112422",
            "country_code": "US",
            "telephone_number": "256-539-0457 x146",
            "fax_number": "256-539-5827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8375 Highway 72 W",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357589573",
            "country_code": "US",
            "telephone_number": "256-539-0457 x146",
            "fax_number": "256-539-5827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Hughes Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357582237",
            "country_code": "US",
            "telephone_number": "256-539-0457 x146",
            "fax_number": "256-539-5827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Airport Rd SW Ste H",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358024360",
            "country_code": "US",
            "telephone_number": "256-539-0457 x146",
            "fax_number": "256-539-5827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1963 Memorial Pkwy SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358015036",
            "country_code": "US",
            "telephone_number": "256-539-0457 x146",
            "fax_number": "256-539-5827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 Big Cove Rd SE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358013750",
            "country_code": "US",
            "telephone_number": "256-539-0457 x146",
            "fax_number": "256-539-5827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Governors Dr SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014326",
            "country_code": "US",
            "telephone_number": "256-539-0457 x146",
            "fax_number": "256-539-5827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAVID",
        "middle_name": "JIWOONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-20",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AL",
            "license": "39252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14646695",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "249725",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250263",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "249694",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250108",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "249618",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250005",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257365",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "249890",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250821",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251027",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253613",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tucker Kilgo, DC
• Jennifer Pace Kilgore, PHARM D
• Haley Palmer Kilpatrick, PHARMD
• Julie Kilpatrick, RD, LD
• Anna S Kim, M.D.
• Katie Lauren Kim, PA-C
• Sohee Kim, CRNP
• Tonghee Kim, D.C
• Bethany N Kimbril, BT
• R. Denton Kimbrough, D.M.D.

• Vascular & Interventional Radiology Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Vascular & Interventional Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.