Active NPI
Hoon Yub Kim, MD, PHD, FACS
- Surgery Physician
- New Orleans, LA
National Provider Identifier
1164060091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 321527
- Practice address
- 1430 Tulane Ave # SL-22
New Orleans, LA 70112-2632 - Phone
- (109) 163-2829
- NPI assigned
- Dec 10, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 321527 | LA | Primary |
Addresses
Primary practice location
1430 Tulane Ave # SL-22
New Orleans, LA 70112-2632
Mailing address
Koryeodae-Ro 73
Korea University College of Medicine
Seongbuk-Gu, SEOUL 02841
KR
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)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 321527 | LA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1164060091",
"addresses": [
{
"country_code": "KR",
"country_name": "Korea, Republic of",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "KORYEODAE-RO 73",
"address_2": "KOREA UNIVERSITY COLLEGE OF MEDICINE",
"city": "SEONGBUK-GU",
"state": "SEOUL",
"postal_code": "02841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 TULANE AVE # SL-22",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122632",
"telephone_number": "109-163-2829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HOON YUB",
"name_prefix": "Dr.",
"credential": "MD, PHD, FACS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-10",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "321527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.